多模态影像辅助手术与传统开颅术在脑深部血肿的应用疗效和预后比较

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【中图分类号】 R651 【文献标志码】 B 【文章编号】 1672-7770（2025）03-0325-05

Abstract：ObjectiveTo compare the efficacy and prognosis between multimodal surgery and traditional craniotomy in deep cerebral hematoma.MethodsAtotal of 65 patients with deep cerebral hemorrhage who underwent surgical treatment in Department of neurosurgery， from January1，2018 to December31，2022 wereanalyzed retrospectively，and they were divided into conventional groupand minimally invasive group according tosurgical methods.There were 32 patients receivedmultimodal minimally invasive puncture surgery and33patientsreceived conventional craniotomy surgery.Preoperativeand postoperative head computed tomography（CT）examinations were performed to confirm the diagnosis in both groups.Preoperative and postoperative hematoma volume，length of hospital stay，Glasgow outcome scale（GOS）score and national institute of health stroke scale（NIHSS）score of patients 6 months after surgery，and postoperative adverse events were recorded.Hematoma clearance rate，GOS score，NIHSS score 6 months after operation and the incidence of adverse events were compared between the two surgical methods.ResultsThere were no significant diferences in age，gender，blood pressure and underlying diseases between the two groups （ P>0. 05 ）．The NIHSS score difference and hematoma clearance rate of the two groups were statistically significant（ P<0.05 ）．Postoperative adverse events，NIHSS score before surgery，GOS score 6 months after surgery and length of hospital stay were not statistically significant between the two groups （ P>0 .05）．ConclusionsFor thepatients with deep cerebral hematoma，multimodal surgery has more advantages for the improvement of postoperative qualityof lifeand has better hematoma clearance rate.

Key words：multimodal surgery；deep cerebral hematoma；applied effect；prognosis

脑出血是一种高死亡率的卒中亚型（1个月内死亡率约为 40% ），而存活下来的部分患者通常都伴有非常严重的神经损伤，在全球范围内每年约有200万的新发病例，占所有卒中的 10%～15% ，在亚洲比例约为 20%～30%[1] 由于脑出血量与死亡率和不良功能预后密切相关，因此手术治疗脑出血一直是被提倡的方法[2]。（剩余10242字）