CAJ | 학술논문

目的:比较微创穿刺血肿清除术与去骨瓣减压术对基底节区出血患者的治疗效果.方法:96例基底节脑出血患者随机分为两组,观察组48例,采用微创穿刺血肿清除术治疗,对照组48例,采用去骨瓣减压术治疗.比较两组患者术后疗效.结果:观察组治疗后患者按 ADL分级治疗有效率为91.7%,对照组为79.2%,两组比较,差异有统计学意义(P<0.01).两组治疗后神经功能缺损评分均明显降低(P<0.01),并且观察组比对照组降低更明显(P<0.01).结果:微创穿刺血肿清除术对基底节区脑出血的效果好于去骨瓣减压术.
목적:비교미창천자혈종청제술여거골판감압술대기저절구출혈환자적치료효과.방법:96례기저절뇌출혈환자수궤분위량조,관찰조48례,채용미창천자혈종청제술치료,대조조48례,채용거골판감압술치료.비교량조환자술후료효.결과:관찰조치료후환자안 ADL분급치료유효솔위91.7%,대조조위79.2%,량조비교,차이유통계학의의(P<0.01).량조치료후신경공능결손평분균명현강저(P<0.01),병차관찰조비대조조강저경명현(P<0.01).결과:미창천자혈종청제술대기저절구뇌출혈적효과호우거골판감압술.
Objective: To study the efficacies of minimally invasive hematoma evacuation and decompressive craniectomy on patients with basal ganglia hemorrhage. Methods:96 patients with basal ganglia hemorrhage were randomly divided into two groups, 48 in each group. The patients in the observation group were operated through minimally invasive suction, while the patients in the control group were operated through decompressive craniectomy. The efficacy were analyzed. Results: The good rates in ADL were 91.7% in the observation group and 79.2%in the control group. There was a significant difference between two groups (P<0.01). Neurological deficit scores in two groups were decreased after treatment (P<0.01). There was a significant difference between two groups (P<0.01). Conclusion:Minimally invasive suction was better than decompressive craniectomy on patients with basal ganglia hemorrhage.