CAJ | 학술논문

目的探讨微创穿刺引流术用于基底节区高血压脑出血患者对水肿带变化的影响。方法我院2011‐03－2014‐08收治的97例高血压基底节区脑出血患者，随机分为A、B 2组，其中A组51例，在内科保守治疗的基础上行微创穿刺引流术；B组46例，仅采用内科保守治疗。比较2组水肿带、血肿清除率、神经功能恢复情况、m RS评分及病死率。结果与术前比较，术后A 组水肿带明显减小，B组水肿带逐渐变大，第5天达到峰值；与B组相比，A 组在第1、3、5、7天均较低（P＜0.01）。治疗3周后，与B组比较，A组血肿清除率较高且神经功能缺损评分较低。治疗3个月后，与B组比较，A组mRS评分等级较优（P＜0.05）。2组病死率差异无统计学意义（P＞0.05）。结论微创穿刺引流术治疗基底节区脑出血血肿清除率高、手术创伤小，能显著改善脑组织水肿，对促进患者神经功能恢复，提高患者生存质量有重大意义。
목적탐토미창천자인류술용우기저절구고혈압뇌출혈환자대수종대변화적영향。방법아원2011‐03－2014‐08수치적97례고혈압기저절구뇌출혈환자，수궤분위A、B 2조，기중A조51례，재내과보수치료적기출상행미창천자인류술；B조46례，부채용내과보수치료。비교2조수종대、혈종청제솔、신경공능회복정황、m RS평분급병사솔。결과여술전비교，술후A 조수종대명현감소，B조수종대축점변대，제5천체도봉치；여B조상비，A 조재제1、3、5、7천균교저（P＜0.01）。치료3주후，여B조비교，A조혈종청제솔교고차신경공능결손평분교저。치료3개월후，여B조비교，A조mRS평분등급교우（P＜0.05）。2조병사솔차이무통계학의의（P＞0.05）。결론미창천자인류술치료기저절구뇌출혈혈종청제솔고、수술창상소，능현저개선뇌조직수종，대촉진환자신경공능회복，제고환자생존질량유중대의의。
Objective To observe the effect of minimally invasive puncture and drainage on the changes of edema belt of cerebral hemorrhage in basal ganglion region.Methods 97 cases with cerebral hemorrhage in basal ganglion from March 2011 to August 2014 in our hospital were selected and randomly divided into group A and group B.51 cases in group A were treated by minimally invasive puncture and drainage based on conventional therapy and 46 cases in group B received conventional thera‐py.The changes of edema belt of cerebral hemorrhage ,clearance rate of hematoma ,the condition of neurological function recov‐ery ,mRS scores and mortality were compared between the two groups .Results Compared with pre‐operation ,the edema belt of cerebral hemorrhage in group A decreased obviously ,which in group B increased remarkably and peaked on the 5th day after operation ,which on 1st ,3rd ,5th and 7th day in group A reminded lower levels compared with group B (P<0.01).After 3‐week treatment ,the group A had significantly higher the clearance rate of hematoma and lower scores of neural function defect scale than group B.In addition ,the scores of mRS were lower in group A after 3 months treatment than that in group B (P<0.05 ) ,the mortality between two groups displayed no significant difference (P>0.05).Conclusion The treatment of mini‐mally invasive puncture and drainage has higher clearance rate of hematoma and less surgical trauma in cerebral hemorrhage pa‐tients in basal ganglion ,which can promote the recovery of neurological function and improve the quality of life.