国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
1期
85-88
,共4页
高血压脑出血%小骨窗开颅术%CT引导穿刺微创碎吸%疗效分析
高血壓腦齣血%小骨窗開顱術%CT引導穿刺微創碎吸%療效分析
고혈압뇌출혈%소골창개로술%CT인도천자미창쇄흡%료효분석
Hypertensive cerebral hemorrhage%Small bone flap craniotomy%Computed tomographic-guided microtraumatic nyxis%Comparison of curative effect
目的 探讨应用小骨窗显微镜下手术及CT引导穿刺微创碎吸术治疗高血压基底节区出血并对其临床效果进行比较分析.方法 回顾分析我院2009年6月至2010年12月期间62例高血压脑出血患者资料,其中32例采用小骨窗开颅术治疗(小骨窗组),30例采用CT引导穿刺微创碎吸术治疗(微创碎吸组),所有患者术后记录意识障碍的恢复时间,并完成1个月的随访对患者进行神经功能缺损程度评分对比观察两组患者的治疗效果.结果 小骨窗组患者意识障碍恢复时间为(2.75±1.18)天,神经功能缺损评分由(41.69±1.26)分改善为(18.53±2.16)分,微创碎吸组患者意识障碍恢复时间为(7.51±1.22)天,神经功能缺损评分由(41.32±1.32)分改善为(26.84±2.30)分,在意识障碍恢复时间及神经功能缺损程度评分方面,小骨窗组效果优于微创碎吸组,差异具有统计学意义(P＜0.05);同样对于血肿清除量,小骨窗组也优于微创碎吸组,差异具有统计学意义(P＜0.05).结论 高血压基底节区出血,应用小骨窗显微镜下手术可以充分清除血肿并彻底止血,临床效果明显优于CT引导穿刺微创碎吸术.
目的 探討應用小骨窗顯微鏡下手術及CT引導穿刺微創碎吸術治療高血壓基底節區齣血併對其臨床效果進行比較分析.方法 迴顧分析我院2009年6月至2010年12月期間62例高血壓腦齣血患者資料,其中32例採用小骨窗開顱術治療(小骨窗組),30例採用CT引導穿刺微創碎吸術治療(微創碎吸組),所有患者術後記錄意識障礙的恢複時間,併完成1箇月的隨訪對患者進行神經功能缺損程度評分對比觀察兩組患者的治療效果.結果 小骨窗組患者意識障礙恢複時間為(2.75±1.18)天,神經功能缺損評分由(41.69±1.26)分改善為(18.53±2.16)分,微創碎吸組患者意識障礙恢複時間為(7.51±1.22)天,神經功能缺損評分由(41.32±1.32)分改善為(26.84±2.30)分,在意識障礙恢複時間及神經功能缺損程度評分方麵,小骨窗組效果優于微創碎吸組,差異具有統計學意義(P＜0.05);同樣對于血腫清除量,小骨窗組也優于微創碎吸組,差異具有統計學意義(P＜0.05).結論 高血壓基底節區齣血,應用小骨窗顯微鏡下手術可以充分清除血腫併徹底止血,臨床效果明顯優于CT引導穿刺微創碎吸術.
목적 탐토응용소골창현미경하수술급CT인도천자미창쇄흡술치료고혈압기저절구출혈병대기림상효과진행비교분석.방법 회고분석아원2009년6월지2010년12월기간62례고혈압뇌출혈환자자료,기중32례채용소골창개로술치료(소골창조),30례채용CT인도천자미창쇄흡술치료(미창쇄흡조),소유환자술후기록의식장애적회복시간,병완성1개월적수방대환자진행신경공능결손정도평분대비관찰량조환자적치료효과.결과 소골창조환자의식장애회복시간위(2.75±1.18)천,신경공능결손평분유(41.69±1.26)분개선위(18.53±2.16)분,미창쇄흡조환자의식장애회복시간위(7.51±1.22)천,신경공능결손평분유(41.32±1.32)분개선위(26.84±2.30)분,재의식장애회복시간급신경공능결손정도평분방면,소골창조효과우우미창쇄흡조,차이구유통계학의의(P＜0.05);동양대우혈종청제량,소골창조야우우미창쇄흡조,차이구유통계학의의(P＜0.05).결론 고혈압기저절구출혈,응용소골창현미경하수술가이충분청제혈종병철저지혈,림상효과명현우우CT인도천자미창쇄흡술.
Objective To compare the effect of microsurgical treatment through a small skullwindow with that of computed tomographic-guided microtraumatic nyxis for hypertensive cerebral hemorrhage in basal ganglion.Methods Patients with cerebral hemorhage caused by hypertension were divided into a small bone flap craniotomy group (32 cases) and a computed tomographic-guided microtraumatic nyxis group (30 cases).The time for consciousness restoration was recorded during the treatment and the assessment of neural function deficit was carried out after 1 month's follow-up.Results The time for consciousness restoration was (2.75±1.18) days in the small bone flap craniotomy group and was (7.51±1.22) days in the computed tomographic-guided microtraumatic nyxis group; the value of neural function deficits assessment was improved from (41.69±1.26) to (18.53±2.16) in the small bone flap craniotomy group and from (41.32±1.32) to (26.84±2.30) in the computed tomographic-guided microtraumatic nyxis group(P＜0.05); the re-hemorrhage rate was higher in the small bone flap craniotomy group than in the computed tomographic-guided microtraumatic nyxis group (P＜0.05).Conclusions Microsurgery through a small skull window for hypertensive cerebral hemorrhage in basal ganglion is more effective than computed tomographic-guided microtraumatic nyxis and can evacuate hematoma completely.
