CAJ | 학술논문

目的：探析高血压基底节区脑出血病人进行经外侧裂入路手术疗法的临床效果研究。方法整群选取该院治疗高血压基底节脑出血病人96例，根据随机数字表法分为研究组、对照组，每组48例，研究组进行经外侧裂入路手术疗法，对照组进行常规小骨窗开颅手术，比较两组的住院时间、引流时间、总血肿抽吸率、术中出血量、手术时间、术后再出血率等临床指标；比较两组的并发症发生情况。结果研究组的住院时间、引流时间、总血肿抽吸率、术中出血量、手术时间等临床指标显著优于对照组(P<0.05)；研究组的术后再出血率为8.3%(4例)显著低于对照组的27.1%(13例)；研究组的术后并发症发生率为12.5%显著低于对照组的33.3%，差异有统计学意义(P<0.05)。结论高血压基底节脑出血进行经外侧裂入路手术法操作简便，高度微创，术后并发症少，值得临床推广。
목적：탐석고혈압기저절구뇌출혈병인진행경외측렬입로수술요법적림상효과연구。방법정군선취해원치료고혈압기저절뇌출혈병인96례，근거수궤수자표법분위연구조、대조조，매조48례，연구조진행경외측렬입로수술요법，대조조진행상규소골창개로수술，비교량조적주원시간、인류시간、총혈종추흡솔、술중출혈량、수술시간、술후재출혈솔등림상지표；비교량조적병발증발생정황。결과연구조적주원시간、인류시간、총혈종추흡솔、술중출혈량、수술시간등림상지표현저우우대조조(P<0.05)；연구조적술후재출혈솔위8.3%(4례)현저저우대조조적27.1%(13례)；연구조적술후병발증발생솔위12.5%현저저우대조조적33.3%，차이유통계학의의(P<0.05)。결론고혈압기저절뇌출혈진행경외측렬입로수술법조작간편，고도미창，술후병발증소，치득림상추엄。
Objective To explore the effect of trans-sylvian approach in the treatment of patients with hypertensive cerebral hem-orrhage in basal ganglia. Methods 96 patients with hypertensive cerebral hemorrhage in basal ganglia in our hospital were selected and randomly divided into research group and control group, 48 cases each group. The research group adopted the trans-sylvian approach and control group adopted the conventional small bone window craniotomy. The hospitalization time, duration of drainage, total rate of hematoma aspiration, intraoperative blood loss, operation time and rebleeding rate and incidence of complications of the two groups were compared. Results The hospitalization time, duration of drainage, total rate of hematoma aspiration, intraoper-ative blood loss and operation time of the research group was better than those of the control group (P<0.05);the rebleeding rate of the research group (8.3%, 4/96) was lower than that of the control group (27.1%, 13/96); the incidence rate of complications of the research group (12.5%) was lower than that of the control group (33.3%) (P<0.05).Conclusion The trans-sylvian approach shall be promoted with minimally invasive nature and fewer complications.