CAJ | 학술논문

目的：探讨两种手术方式对优势半球壳核出血患者的治疗效果。方法将54例优势半球壳核出血患者分为开颅组和立体定向组，分别施行开颅血肿清除术和立体定向血肿引流术，观察两组的日常生活能力及失语程度。结果6个月时对患者随访，按改良Barthel指数法评定日常生活能力，开颅组与立体定向组分别有17例(70.83%)和22例(73.33%)效果良好，两组比较差异无统计学意义(P>0.05)；应用BDAE失语症严重程度分级对失语进行评定，两组分别有13例(54.17%)和23例(76.67%)效果良好，差异有统计学意义(P<0.05)。结论立体定向血肿引流术应用于优势半球壳核出血患者，有利于语言功能的康复，效果优于开颅血肿清除术。
목적：탐토량충수술방식대우세반구각핵출혈환자적치료효과。방법장54례우세반구각핵출혈환자분위개로조화입체정향조，분별시행개로혈종청제술화입체정향혈종인류술，관찰량조적일상생활능력급실어정도。결과6개월시대환자수방，안개량Barthel지수법평정일상생활능력，개로조여입체정향조분별유17례(70.83%)화22례(73.33%)효과량호，량조비교차이무통계학의의(P>0.05)；응용BDAE실어증엄중정도분급대실어진행평정，량조분별유13례(54.17%)화23례(76.67%)효과량호，차이유통계학의의(P<0.05)。결론입체정향혈종인류술응용우우세반구각핵출혈환자，유리우어언공능적강복，효과우우개로혈종청제술。
Objective To explore the curative effects of two kinds of operation methods in the treatment of dominant hemisphere putaminal hemorrhage. Methods 54 cases of patients with dominant hemisphere putaminal hemorrhage were divided into craniotomy group and stereotactic technique group,craniotomy and evacuation of hematoma was used in craniotomy group and stereotactic drainage of hematoma was used in stereotactic technique group.Activity of daily living and the extent of aphasia in two groups was observed respectively. Results The patients were followed up six months after therapy.Activity of daily living was evaluated according to reforming Barthel index number.17(70.83%)and 22(73.33%)patients obtained good curative effect in craniotomy group and stereotactic technique group respectively,with no statistical difference (P>0.05).Aphasia was evaluated according to BADE classify of serious level of aphasia.13 (54.17%)and 23(76.67%)patients obtained good effect in craniotomy group and stereotactic technique group respective-ly,with statistical difference (P<0.05). Conclusion Stereotactic technique applied in dominant hemisphere putaminal hemorrhage is conducive to the rehabilitation of language function,it’s curative effect is better than craniotomy and e-vacuation of hematoma.