Analysis of the effect of minimally invasive hematoma removal surgery and craniotomy surgery in the treatment of hypertensive intracerebral hemorrhage in neurosurgery
神经外科微创血肿清除术与开颅手术在高血压脑出血治疗中的效果分析

摘要

目的 探讨神经外科微创血肿清除术与开颅手术在高血压脑出血治疗中的效果分析。方法 选择我院于2024年1月-2024年12月期间内收治的高血压脑出血患者100例，将其按随机分组方法分为对照组和观察组，对照组和观察组各50例，其中对照组采取开颅手术治疗，观察组采用神经外科微创血肿清除术治疗。对比两组的临床治疗效果。结果 观察组手术时间、住院时间均短于对照组（P＜0.05），术中出血量低于对照组（P＜0.05），血肿清除率高于对照组（P＜0.05）。观察组术后1d、3d、7d的GCS评分均高于对照组（P＜0.05），并发症发生率低于对照组（P＜0.05），临床治疗有效率高于对照组（P＜0.05）。结论 对高血压脑出血患者实施神经外科微创血肿清除术治疗取得明显的效果，可有效缩短手术时间，提高血肿清除率，降低并发症发生率，有较高应用价值。

Abstract

Objective Exploring the effect analysis of minimally invasive hematoma removal surgery and craniotomy surgery in the treatment of hypertensive intracerebral hemorrhage in neurosurgery.
Methods 100 patients with hypertensive intracerebral hemorrhage admitted to our hospital from January 2024 to December 2024 were randomly divided into a control group and an observation group, with 50 patients in each group. The control group underwent craniotomy surgery, while the observation group underwent minimally invasive hematoma removal surgery in neurosurgery. Compare the clinical treatment effects of the two groups.
Results The observation group had shorter surgical time and hospitalization time than the control group (P<0.05), lower intraoperative blood output than the control group (P<0.05), and higher hematoma clearance rate than the control group (P<0.05). The GCS scores of the observation group on postoperative day 1, 3, and 7 were higher than those of the control group (P<0.05), the incidence of complications in the observation group was lower than that of the control group (P<0.05), and the clinical treatment effectiveness rate of the observation group was higher than that of the control group (P<0.05).
Conclusion   Minimally invasive hematoma removal surgery in neurosurgery has achieved significant results in the treatment of hypertensive intracerebral hemorrhage patients. It can effectively shorten the surgical time, improve the hematoma removal rate, and reduce the incidence of complications, and has high application value.