中华神经医学杂志
中華神經醫學雜誌
중화신경의학잡지
Chinese Journal of Neuromedicine
2015年
11期
1156-1158
,共3页
白杨%王东%苏醒%周志中
白楊%王東%囌醒%週誌中
백양%왕동%소성%주지중
高血压脑出血%壳核出血%激光辅助%穿刺置管%开颅手术
高血壓腦齣血%殼覈齣血%激光輔助%穿刺置管%開顱手術
고혈압뇌출혈%각핵출혈%격광보조%천자치관%개로수술
Hypertensive cerebral hemorrhage%Putaminal hemorrhage%Laser assistance%Stereotactic head flame%Craniotomy operation
目的 探讨自制激光辅助立体定向头架行血肿腔穿刺置管治疗高血压脑出血的效果. 方法 对吉林市中心医院神经外科自2013年1月1日至2014年1月1日收治的67例壳核出血患者应用自制激光辅助立体定向头架行颅内血肿腔穿刺置管治疗(微创组),并以采用传统开颅手术方式治疗的53例同期壳核出血患者为对照(传统开颅组),对2组患者的手术效果进行系统分析和评价. 结果 微创组患者与传统开颅组患者比较,术后6个月内死亡率明显降低(8.9％ vs22.6％)、再出血率明显降低(2.99％ vs 15.1％)、6个月良好率明显升高(68.7％ vs 43.4％)、平均手术时间明显缩短[(41.2±8.1) rain vs (203.2±38.6) min]、平均住院时间明显缩短[(18.2±4.4)d vs(28.1±7.2)d]、平均住院费用明显减少[(23647.7±5503.2)元vs(51678.6±7524.2)元],差异均有统计学意义(P＜0.05). 结论 采用自制激光辅助立体定向头架进行颅内血肿腔穿刺置管治疗壳核出血操作简便、费用低廉、效果良好.
目的 探討自製激光輔助立體定嚮頭架行血腫腔穿刺置管治療高血壓腦齣血的效果. 方法 對吉林市中心醫院神經外科自2013年1月1日至2014年1月1日收治的67例殼覈齣血患者應用自製激光輔助立體定嚮頭架行顱內血腫腔穿刺置管治療(微創組),併以採用傳統開顱手術方式治療的53例同期殼覈齣血患者為對照(傳統開顱組),對2組患者的手術效果進行繫統分析和評價. 結果 微創組患者與傳統開顱組患者比較,術後6箇月內死亡率明顯降低(8.9％ vs22.6％)、再齣血率明顯降低(2.99％ vs 15.1％)、6箇月良好率明顯升高(68.7％ vs 43.4％)、平均手術時間明顯縮短[(41.2±8.1) rain vs (203.2±38.6) min]、平均住院時間明顯縮短[(18.2±4.4)d vs(28.1±7.2)d]、平均住院費用明顯減少[(23647.7±5503.2)元vs(51678.6±7524.2)元],差異均有統計學意義(P＜0.05). 結論 採用自製激光輔助立體定嚮頭架進行顱內血腫腔穿刺置管治療殼覈齣血操作簡便、費用低廉、效果良好.
목적 탐토자제격광보조입체정향두가행혈종강천자치관치료고혈압뇌출혈적효과. 방법 대길림시중심의원신경외과자2013년1월1일지2014년1월1일수치적67례각핵출혈환자응용자제격광보조입체정향두가행로내혈종강천자치관치료(미창조),병이채용전통개로수술방식치료적53례동기각핵출혈환자위대조(전통개로조),대2조환자적수술효과진행계통분석화평개. 결과 미창조환자여전통개로조환자비교,술후6개월내사망솔명현강저(8.9％ vs22.6％)、재출혈솔명현강저(2.99％ vs 15.1％)、6개월량호솔명현승고(68.7％ vs 43.4％)、평균수술시간명현축단[(41.2±8.1) rain vs (203.2±38.6) min]、평균주원시간명현축단[(18.2±4.4)d vs(28.1±7.2)d]、평균주원비용명현감소[(23647.7±5503.2)원vs(51678.6±7524.2)원],차이균유통계학의의(P＜0.05). 결론 채용자제격광보조입체정향두가진행로내혈종강천자치관치료각핵출혈조작간편、비용저렴、효과량호.
Objective To study the effect of self-made stereotactic head frame on hypertensive cerebral hemorrhage.Methods Sixty-seven patients with putamen hemorrhage,admitted to our hospital from January 1,2013 to January 1,2014,were enrolled as minimally invasive group;a self-made laser assisted stereotactic head frame was used to putaminal intracranial catheter.Another 53 patients with putaminal hemorrhage,performed traditional craniotomy at the same time period,were enrolled as control group.Systemic analysis and evaluation of effect of these two methods were performed.Results As compared with the control group,minimally invasive group had significantly lower mortality rate 6 months after surgery (22.6％ vs.8.9％) and re-bleeding rate (15.1％ vs.2.99％),significantly increased percentage of favorable outcomes (43.4％ vs.68.7％),statistically shorter surgical times ([203.2±38.6] min vs.[41.2±8.1] min) and hospital stays ([28.1±7.2] d vs.[18.2±4.4] d),and significantly decreased medical expenses ([23647.7±5503.2] yuan vs.[51678.6±7524.2] yuan,P＜0.05).Conclusion Treating putaminal hemorrhage using self-made laser assisted stereotactic head frame enjoys advantages as simple operation,lower cost and good efficacy.
