CAJ | 학술논문

目的比较经外侧裂-岛叶入路与经皮质入路行血肿清除术治疗高血压性基底节区脑出血的疗效.方法回顾性纳入经外侧裂-岛叶入路与经皮质入路行血肿清除术治疗高血压性基底节区脑出血患者.比较2组人口统计学和基线资料以及术后3个月时的转归情况(改良Rankin量表评分0～3分为转归良好,≥4分为转归不良)和病死率.结果共纳入68例(经外侧裂-岛叶入路40例,经皮质入路28例)高血压脑出血患者.2组人口统计学和基线资料均无显著性差异(P均＞0.05).术后3个月时,经外侧裂-岛叶和经皮质入路组转归良好率分别为52.50％(21/40)和21.43％(6/28),前组显著性高于后组(x2=6.642,P=0.010);经外侧裂-岛叶入路组和经皮质入路组病死率分别为2.50％ (1/40)和21.43％(6/28),前组显著性低于后组(Fisher精确检验,P=0.017).结论高血压性基底节区出血采用经外侧裂-岛叶入路进行血肿清除的临床疗效优于经皮质入路.
목적 비교경외측렬-도협입로여경피질입로행혈종청제술치료고혈압성기저절구뇌출혈적료효.방법 회고성납입경외측렬-도협입로여경피질입로행혈종청제술치료고혈압성기저절구뇌출혈환자.비교2조인구통계학화기선자료이급술후3개월시적전귀정황(개량Rankin량표평분0～3분위전귀량호,≥4분위전귀불량)화병사솔.결과 공납입68례(경외측렬-도협입로40례,경피질입로28례)고혈압뇌출혈환자.2조인구통계학화기선자료균무현저성차이(P균＞0.05).술후3개월시,경외측렬-도협화경피질입로조전귀량호솔분별위52.50％(21/40)화21.43％(6/28),전조현저성고우후조(x2=6.642,P=0.010);경외측렬-도협입로조화경피질입로조병사솔분별위2.50％ (1/40)화21.43％(6/28),전조현저성저우후조(Fisher정학검험,P=0.017).결론 고혈압성기저절구출혈채용경외측렬-도협입로진행혈종청제적림상료효우우경피질입로.
Objective To compare the efficacy of hematoma evacuation between transsylvian-transinsular approach and transcortical approach in hypertensive basal ganglia hemorrhage.Methods The patients with hypertensive basal ganglia hemorrhage who underwent hematoma evacuation via transsylviantransinsular approach and transcortical approach were enrolled retrospectively.Demographics and baseline data,as well as the outcome (the modified Rankin scale 0-3 as good outcome and ≥4 as poor outcome) and mortality at 3 months were compared in both groups.Results A total of 68 patients with hypertensive cerebral hemorrhage (40 cases via transsylvian-transinsular approach and 28 via transcortical approach) were enrolled.There were no significant differences in the demographics and baseline data between the two groups (all P＞ 0.05).The good outcome rates in the transsylvian-transinsular approach and transcortical approach at 3 months after surgery were 52.50％ (21/40) and 21.43％ (6/28),respectively.The former is significantly higher than the latter (x2 =6.642; P=0.01); the mortalities in the transsylvian-transinsular approach and transcortical approach were 2.50％ (1/40) and 21.43％ (6/28),respectively.The former is significantly lower than the latter (Fisher's exact test,P=0.017).Conclusions The clinical efficacy of hypertensive basal ganglia hemorrhage via transsylvian-transinsular approach is better than the transcortical approach.