不同手术方式治疗高血压性基底节区脑出血对比研究
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摘要
目的研究不同手术方式在高血压性基底节区脑出血中的应用价值。方法选择2016年5月至2017年12月本科接诊的高血压性基底节区脑出血病患71例,根据不同的手术方式将之分成两组,实验组36例采用小骨窗显微手术,对照组35例采用锥颅引流术。分析两组手术治疗的效果,比较血肿清除率等指标。结果实验组的手术用时明显比对照组短,组间差异有统计学意义(P<0.05)。实验组的血肿清除率为(84.76±5.31)%,明显比对照组的(70.05±6.02)%高,组间差异有统计学意义(P<0.05)。实验组的并发症发生率为5.56%,明显比对照组的22.86%低,组间差异有统计学意义(P<0.05)。实验组的术中出血量明显比对照组少,两者之比为(:32.38±4.75)ml vs(86.25±5.83)ml,差异有统计学意义(P<0.05)。结论积极对高血压基底节区出血病患施以小骨窗显微手术治疗,可显著提升其手术疗效,缩短手术用时,降低并发症发生率。
Objective To study the application value of different surgical methods in hypertensive basal ganglia cerebral hemorrhage. Methods 71 patients with hypertensive basal ganglia cerebral hemorrhage were involved in this study from May 2016 to December 2017, which were divided intotwo groups according to different surgical methods. Thirty-six patients in the experimental group were treated with small bone window microsurgeryand 35 patients in the control group were treated with conus cranial drainage. The results of surgical treatment were analyzed and the hematoma clear-ance rate was compared between the two groups. Results The operation time of the experimental group was significantly shorter than that in controlgroup(P<0.05). The clearance rate of hematoma in the experimental group was(84.76±5.31) %, significantly higher than that in the control group(70.05±6.02) %. The incidence of complications was 5.56% in the experimental group, significantly lower than 22.86% in the control group(P<0.05). The intraoperative blood loss of the experimental group was(32.38±4.75) ml,significantly lower than(86.25±5.83) ml in the control group(P<0.05). Conclusion The hypertensive basal ganglia hemorrhage patients treated by small bone window microsurgery can significantly improve the surgical effect, shorten the operation time, reduce the incidence of complications.
Objective To study the application value of different surgical methods in hypertensive basal ganglia cerebral hemorrhage. Methods 71 patients with hypertensive basal ganglia cerebral hemorrhage were involved in this study from May 2016 to December 2017, which were divided intotwo groups according to different surgical methods. Thirty-six patients in the experimental group were treated with small bone window microsurgeryand 35 patients in the control group were treated with conus cranial drainage. The results of surgical treatment were analyzed and the hematoma clear-ance rate was compared between the two groups. Results The operation time of the experimental group was significantly shorter than that in controlgroup(P<0.05). The clearance rate of hematoma in the experimental group was(84.76±5.31) %, significantly higher than that in the control group(70.05±6.02) %. The incidence of complications was 5.56% in the experimental group, significantly lower than 22.86% in the control group(P<0.05). The intraoperative blood loss of the experimental group was(32.38±4.75) ml,significantly lower than(86.25±5.83) ml in the control group(P<0.05). Conclusion The hypertensive basal ganglia hemorrhage patients treated by small bone window microsurgery can significantly improve the surgical effect, shorten the operation time, reduce the incidence of complications.
引文
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[2]廖驭国,杨建雄,赖余柱,等.小骨窗显微手术治疗基底节高血压脑出血78例临床分析[J].中国临床神经外科杂志,2011,16(9):550-552.
[3]李克和,黄录茂,雍成明,等.小骨窗经外侧裂岛叶入路血肿清除术治疗高血压脑出血效果观察[J].山东医药,2015,12(36):39-40,41.
[4]陈刚.小骨窗显微手术与微创引流治疗高血压基底节出血对照分析[J].中国实用医药,2013,8(10):39-40.
[5]罗方接,李小云.小骨窗显微手术治疗基底节区高血压性脑出血的手术时机探讨[J].临床和实验医学杂志,2014,13(19):1613-1615.
[6]袁林文.高血压性脑出血患者采取软通道、硬通道微创手术治疗临床疗效对比[J].当代医学,2018,24(4):24-26.
[7]时国兵.小骨窗显微手术治疗基底节区高血压脑出血的预后相关因素分析及疗效观察[J].临床和实验医学杂志,2013,12(7):521-522,525.
[8]罗仁国.超早期小骨窗显微手术经外侧裂-岛叶入路治疗基底节脑出血疗效观察[J].中国实用神经疾病杂志,2014,17(2):53-54.
[9]张正平,李坤正,杨生龙,等.小骨窗显微手术治疗基底节区高血压脑出血的临床疗效[J].中国老年学杂志,2015,35(24):7116-7118.
[10]李建明,张诚.锥颅引流术与小骨窗开颅显微手术治疗高血压基底节区脑出血的疗效比较[J].中国实用神经疾病杂志,2016,19(21):5-8.