微创钻孔引流术对高血压脑出血患者神经功能的影响
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摘要
目的对比微创钻孔引流术、开窗血肿清除术改善高血压脑出血患者神经功能效果。方法将高血压脑出血患者68例分组,引流组予以微创钻孔引流术治疗,开窗组予以开窗血肿清除术治疗,观察术后血肿量、神经功能恢复情况。结果引流组术后1d、3d、5d血肿量低于开窗组,P <0. 01;引流组术后15d NIHSS评分低于开窗组,P <0. 01;引流组术后3个月ADL评分高于开窗组,P <0. 01。结论高血压脑出血的患者实施微创钻孔引流术,具有时间短、术后血肿量小,神经功能恢复快。
Objective To compare the effect of minimally invasive drilling drainage and window hematoma removal on the neurological function of patients with hypertensive intracerebral hemorrhage. Methods Sixty-eight patients with hypertensive intracerebral hemorrhage were divided into groups according to the operation method. The drainage group was treated with minimally invasive drilling and drainage. The open window group was treated with window hematoma removal and the postoperative hematoma volume and neurological function recovery were observed. Results The volume of hematoma at 1 d,3 d,and 5 d was significantly lower in the drainage group than in the window group( P < 0. 01). The neurological deficit score at the 15 th day after drainage was lower than that in the open group( P < 0. 01); The monthly ADL score was higher than the open window group,P < 0. 01. Conclusion The patients with hypertensive intracerebral hemorrhage undergo minimally invasive drilling and drainage,which has a short time,small postoperative hematoma,and rapid recovery of nerve function.
Objective To compare the effect of minimally invasive drilling drainage and window hematoma removal on the neurological function of patients with hypertensive intracerebral hemorrhage. Methods Sixty-eight patients with hypertensive intracerebral hemorrhage were divided into groups according to the operation method. The drainage group was treated with minimally invasive drilling and drainage. The open window group was treated with window hematoma removal and the postoperative hematoma volume and neurological function recovery were observed. Results The volume of hematoma at 1 d,3 d,and 5 d was significantly lower in the drainage group than in the window group( P < 0. 01). The neurological deficit score at the 15 th day after drainage was lower than that in the open group( P < 0. 01); The monthly ADL score was higher than the open window group,P < 0. 01. Conclusion The patients with hypertensive intracerebral hemorrhage undergo minimally invasive drilling and drainage,which has a short time,small postoperative hematoma,and rapid recovery of nerve function.
引文
[1]宋红伟,张小霞.微创钻孔引流术与小骨窗开颅术治疗中等量基底节区高血压脑出血的临床效果[J].现代诊断与治疗,2017,28(12):2170-2171.
[2]钱卫添,胡建军,胡朝晖,等.微创钻孔引流术与开窗血肿清除术治疗高血压脑出血疗效观察[J].数理医药学杂志,2017,30(3):353-354.
[3]何君辉.微创钻孔引流术与小骨窗开颅术治疗中等量到大量基底节区高血压脑出血效果[J].中国现代药物应用,2017,11(24):1-4.
[4]宋年栓.不同手术方式(微创钻孔引流、开颅血肿清除术)治疗中老年高血压脑出血的临床疗效对比[J].世界最新医学信息文摘,2016,16(102):49-51.
[5]万海涛,严畅,平君,等.微创钻孔引流术与小骨窗开颅术治疗中等量高血压脑出血的疗效比较[J].立体定向和功能性神经外科杂志,2016,29(2):115-116.
[6]周业,王盛,陈太董.不同微创钻孔引流方案治疗高血压性脑出血疗效及安全性比较[J].检验医学与临床,2017,14(18):2720-2721,2724.
[7]李红燕,徐青,黄礼明,等.高血压脑出血钻孔尿激酶灌注引流术后并发症的观察和护理[J].浙江医学,2015,37(8):707-709.
[8]王朝平,吴杰,周敏.微创钻孔引流与开颅血肿清除术治疗中老年高血压脑出血的临床疗效及预后比较[J].中国老年学杂志,2016,36(18):4494-4495
[9]綦斌,左程,邬巍,等.立体定向微创钻孔引流术辅助尿激酶灌洗治疗基底节区高血压脑出血[J].中华实验外科杂志,2014,31(1):205.
[10]杜文俊,杜浩,张永.微创钻孔引流术与小骨窗开颅术治疗中等量基底节区脑出血的疗效观察[J].中国实用神经疾病杂志,2015,(5):97-98.
[11]段勇刚,袁波,谭占国,等.微创钻孔引流术与开窗血肿清除术治疗高血压脑出血疗效对比[J].中国实用神经疾病杂志,2017,20(7):61-63.
[12]罗俊杰,戴永建,田学成,等.微创钻孔引流术与开窗血肿清除术治疗高血压脑出血疗效观察[J].现代中西医结合杂志,2016,25(13):1444-1446.
[13]李泗安,刘增良.微创钻孔引流术治疗高血压脑出血的疗效及术后NSE、NTF-α、CRP的变化[J].中国老年学杂志,2015,(13):3597-3598.
[14]戴国栋,秦龙.不同手术方式治疗脑出血的对比研究[J].中国实用神经疾病杂志,2016,(1):84-85.
[15]郑建辉,翟小刚,乔艳,等.微创锥颅钻孔引流术治疗慢性硬膜下血肿208例临床分析[J].中国临床医生杂志,2015,(5):61-62.
[2]钱卫添,胡建军,胡朝晖,等.微创钻孔引流术与开窗血肿清除术治疗高血压脑出血疗效观察[J].数理医药学杂志,2017,30(3):353-354.
[3]何君辉.微创钻孔引流术与小骨窗开颅术治疗中等量到大量基底节区高血压脑出血效果[J].中国现代药物应用,2017,11(24):1-4.
[4]宋年栓.不同手术方式(微创钻孔引流、开颅血肿清除术)治疗中老年高血压脑出血的临床疗效对比[J].世界最新医学信息文摘,2016,16(102):49-51.
[5]万海涛,严畅,平君,等.微创钻孔引流术与小骨窗开颅术治疗中等量高血压脑出血的疗效比较[J].立体定向和功能性神经外科杂志,2016,29(2):115-116.
[6]周业,王盛,陈太董.不同微创钻孔引流方案治疗高血压性脑出血疗效及安全性比较[J].检验医学与临床,2017,14(18):2720-2721,2724.
[7]李红燕,徐青,黄礼明,等.高血压脑出血钻孔尿激酶灌注引流术后并发症的观察和护理[J].浙江医学,2015,37(8):707-709.
[8]王朝平,吴杰,周敏.微创钻孔引流与开颅血肿清除术治疗中老年高血压脑出血的临床疗效及预后比较[J].中国老年学杂志,2016,36(18):4494-4495
[9]綦斌,左程,邬巍,等.立体定向微创钻孔引流术辅助尿激酶灌洗治疗基底节区高血压脑出血[J].中华实验外科杂志,2014,31(1):205.
[10]杜文俊,杜浩,张永.微创钻孔引流术与小骨窗开颅术治疗中等量基底节区脑出血的疗效观察[J].中国实用神经疾病杂志,2015,(5):97-98.
[11]段勇刚,袁波,谭占国,等.微创钻孔引流术与开窗血肿清除术治疗高血压脑出血疗效对比[J].中国实用神经疾病杂志,2017,20(7):61-63.
[12]罗俊杰,戴永建,田学成,等.微创钻孔引流术与开窗血肿清除术治疗高血压脑出血疗效观察[J].现代中西医结合杂志,2016,25(13):1444-1446.
[13]李泗安,刘增良.微创钻孔引流术治疗高血压脑出血的疗效及术后NSE、NTF-α、CRP的变化[J].中国老年学杂志,2015,(13):3597-3598.
[14]戴国栋,秦龙.不同手术方式治疗脑出血的对比研究[J].中国实用神经疾病杂志,2016,(1):84-85.
[15]郑建辉,翟小刚,乔艳,等.微创锥颅钻孔引流术治疗慢性硬膜下血肿208例临床分析[J].中国临床医生杂志,2015,(5):61-62.