牡丹江医学院学报
牡丹江醫學院學報
모단강의학원학보
Journal of Mudanjiang Medical University
2015年
5期
27-28
,共2页
立体定向术%丘脑出血%软通道%并发症%日常生活能力评估
立體定嚮術%丘腦齣血%軟通道%併髮癥%日常生活能力評估
입체정향술%구뇌출혈%연통도%병발증%일상생활능력평고
Stereotactic surgery%Thalamic hemorrhage%Soft Channel%Complication%activity of daily living scale
目的：探讨颞部入路立体定向软通道手术在老年性丘脑出血中的应用价值。方法选择老年性丘脑出血患者108例，随机分为对照组和手术组，每组54人。对照组给予止血、脱水、营养神经等保守治疗。手术组采用颞部入路立体定向软通道手术治疗。结果手术组完全正常、明显功能障碍及死亡例数少于对照组，差别有统计学意义P ＜0．05，不同程度功能障碍两组无明显差别平P ＞0．05。并且手术组的并发症低于对照组P ＜0．05。结论颞部入路立体定向软通道治疗大大降低了老年性丘脑出现的并发症，改善了其生活质量。
目的：探討顳部入路立體定嚮軟通道手術在老年性丘腦齣血中的應用價值。方法選擇老年性丘腦齣血患者108例，隨機分為對照組和手術組，每組54人。對照組給予止血、脫水、營養神經等保守治療。手術組採用顳部入路立體定嚮軟通道手術治療。結果手術組完全正常、明顯功能障礙及死亡例數少于對照組，差彆有統計學意義P ＜0．05，不同程度功能障礙兩組無明顯差彆平P ＞0．05。併且手術組的併髮癥低于對照組P ＜0．05。結論顳部入路立體定嚮軟通道治療大大降低瞭老年性丘腦齣現的併髮癥，改善瞭其生活質量。
목적：탐토섭부입로입체정향연통도수술재노년성구뇌출혈중적응용개치。방법선택노년성구뇌출혈환자108례，수궤분위대조조화수술조，매조54인。대조조급여지혈、탈수、영양신경등보수치료。수술조채용섭부입로입체정향연통도수술치료。결과수술조완전정상、명현공능장애급사망례수소우대조조，차별유통계학의의P ＜0．05，불동정도공능장애량조무명현차별평P ＞0．05。병차수술조적병발증저우대조조P ＜0．05。결론섭부입로입체정향연통도치료대대강저료노년성구뇌출현적병발증，개선료기생활질량。
Objective To investigate the value of stereotactic soft path from temporal region in the treatment of elderly thalamic hemorrhage.Methods 108 cases of elderly thalamic hemorrhage patients were selected and divided into control group and surgical group randomly, each group of 54 people.The control group received bleeding, dehydration, neurotrophic and other conservative treat-ment.Surgical group received surgical treatment by using the temporal approach stereotactic surgery soft passages.Results The com-pletely normal, obvious dysfunction and death cases in surgical group were fewer than those in control group, the difference was statisti-cally significant ( P <0.05).Varying degrees of dysfunction was no significant difference in each group (P>0.05).The complica-tions in the surgical group were less than those in control group ( P <0.05) .Conclusion The stereotactic soft path from temporal re-gion greatly could reduce the complications of elderly thalamic hemorrhage, improve their quality of life.
