中国实用医药
中國實用醫藥
중국실용의약
China Practical Medical
2015年
31期
15-16
,共2页
基底节区出血%手术方式%治疗效果
基底節區齣血%手術方式%治療效果
기저절구출혈%수술방식%치료효과
Basal ganglion hemorrhage%Surgical method%Curative effect
目的 总结分析不同手术治疗方式治疗基底节区出血的疗效及预后.方法 对血肿穿刺引流术、小骨窗血肿清除术及开颅去骨瓣减压血肿清除术三种手术方式治疗245例基底节区出血(血肿≥30 ml)患者的临床资料进行回顾分析.结果 近期疗效:术后6~72 h复查头CT, 血肿清除>90%者225例, ≤ 90%者20例.术后3 d内再出血19例(7.8%)、术后1个月死亡11例(4.5%).远期疗效:术后6个月随访226例, 失防率7.8%.格拉斯哥预后评分(GOS)4~5分177例(78.3%), 2~3分 36例(15.9%), 死亡13例(5.8%).结论 采用个性化的手术方式有助于提高基底节区出血的手术治疗效果, 可在临床广泛应用.
目的 總結分析不同手術治療方式治療基底節區齣血的療效及預後.方法 對血腫穿刺引流術、小骨窗血腫清除術及開顱去骨瓣減壓血腫清除術三種手術方式治療245例基底節區齣血(血腫≥30 ml)患者的臨床資料進行迴顧分析.結果 近期療效:術後6~72 h複查頭CT, 血腫清除>90%者225例, ≤ 90%者20例.術後3 d內再齣血19例(7.8%)、術後1箇月死亡11例(4.5%).遠期療效:術後6箇月隨訪226例, 失防率7.8%.格拉斯哥預後評分(GOS)4~5分177例(78.3%), 2~3分 36例(15.9%), 死亡13例(5.8%).結論 採用箇性化的手術方式有助于提高基底節區齣血的手術治療效果, 可在臨床廣汎應用.
목적 총결분석불동수술치료방식치료기저절구출혈적료효급예후.방법 대혈종천자인류술、소골창혈종청제술급개로거골판감압혈종청제술삼충수술방식치료245례기저절구출혈(혈종≥30 ml)환자적림상자료진행회고분석.결과 근기료효:술후6~72 h복사두CT, 혈종청제>90%자225례, ≤ 90%자20례.술후3 d내재출혈19례(7.8%)、술후1개월사망11례(4.5%).원기료효:술후6개월수방226례, 실방솔7.8%.격랍사가예후평분(GOS)4~5분177례(78.3%), 2~3분 36례(15.9%), 사망13례(5.8%).결론 채용개성화적수술방식유조우제고기저절구출혈적수술치료효과, 가재림상엄범응용.
To summarize and analyze curative effect and prognosis of different surgical methods in the treatment of basal ganglion hemorrhage.Methods A retrospective analysis was made on clinical data of 245 patients receiving hematoma puncture drainage, small bone window evacuation of hematoma, and craniotomy decompressive craniectomy evacuation of hematoma for basal ganglion hemorrhage (hematoma ≥30 ml).Results Short-term curative effect: Reexamination of head CT was taken in postoperative 6~72 h. There were 225 cases with hematoma clear >90% and 20 cases ≤ 90%. There were 19 rehaemorrhagia cases (7.8%) in 3 d after operation and 11 death cases (4.5%) in 1 month after operation. Long-term curative effect: 226 cases received follow-up for 6 months, with lost rate as 7.8%. There were 117 cases (78.3%) with Glasgow outcome scale (GOS) score as 4~5 points, 36 cases (15.9%) with 2~3 points, and 13 death cases (5.8%).Conclusion Implement of individualized surgical treatment can improve curative effect for treating basal ganglion hemorrhage. It can be widely applied in clinic.
