摘要
目的:探讨使用不同的手术方法治疗基底节区自发性脑出血的疗效。方法:将住院患者按照就诊先后顺序分为治疗组和对照组各48例,治疗组采用微创的手术方式,对照组使用传统的开颅手术方式。比较两组患者的住院时间、出血量以及存活率等。结果:治疗组患者平均住院时间为(6.8±2.3)d,手术出血量为(80±15.5)ml,患者存活率为87.5%(42/48),神经损伤2例;对照组分别为(15.3±2.4)d、(200±16.7)ml、79.2%(38/48)、11例,两组比较差异均有统计学意义(P<0.05),治疗组发生3例术后并发症,对照组发生4例,差异无统计学意义(P>0.05)。术后随访3个月,根据GOS评分,治疗组恢复良好16例,中残19例,重残3例,植物生存1例,死亡3例,与对照组生存状况比较,差异有统计学意义(P<0.05)。两组血肿清除率比较,差异有统计学意义(P<0.05)。结论:使用微创手术治疗基底节区自发性脑出血相对于传统的手术方法而言具有恢复快、出血少、术后神经创伤少等优点。
Objective：To explore the usage of different methods of surgical treatment of Spontaneous cerebral hemorrhage of basal ganglia region.Method：Hospitalized patients in clinic were divided into treatment group and control group,with 48 cases in each group.The patients in treatment group were treated by minimally invasive operation mode;the patients in control group got traditional craniotomy operation instead.The patients＇ time spent in hospital,patient survival rate and bleeding time were compared.Result：The patients in the treatment group stayed in the hospital for（6.8±2.3）days at average,their amount of bleeding was（80±15.5）ml;clearance of hematoma was 95.8%（46/48）;the survival rate of the patients was 87.5%（42/48）,and 3 cases had postoperative complications,with 2 cases of nerve injury.On the other hand,in control group,the average hospitalization time was（15.3±2.4）days,operation hemorrhage was（200±16.7）ml,clearance rate hematoma was 93.8%（45/48）,the survival rate of the patients was 79.2%（38/48）,4 cases had postoperative complications,11 cases of nerve injury.Conclusion：Compared with the traditional operation method,minimally invasive operation mode has many advantages in treating Spontaneous cerebral hemorrhage of basal ganglia region,such as a faster recovery,less bleeding,less postoperative nerve trauma and so on.
出处
《中国医学创新》
CAS
2013年第26期56-58,共3页
Medical Innovation of China
关键词
基底节区自发性脑出血
微创手术
手术入路
Basal ganglia cerebral hemorrhage
Minimally invasive
Operation approach
