摘要
目的观察超早期侧裂-岛叶入路小翼点切口显微手术治疗高血压基底节区脑出血的临床效果。方法选取2019年6月~2020年6月我院接诊的84例高血压基底节区脑出血患者为研究对象,采用随机数字表法分为对照组和观察组,各42例。对照组采用经颞顶瓣开颅血肿清除术治疗,观察组采用超早期小翼点切口锁孔经侧裂-岛叶入路显微手术,比较两组手术指标、血肿清除率、不同时间点颅内压水平、GOS评分、ADL评分以及并发症发生情况。结果观察组手术时间、术中出血量、住院时间均短于对照组,差异有统计学意义(P<0.05);观察组血肿清除率为88.09%,高于对照组的73.80%,差异有统计学意义(P<0.05);观察组术后1 d颅内压与对照组比较,差异无统计学意义(P>0.05),术后3、5 d颅内压均低于对照组,差异有统计学意义(P<0.05);术后,观察组GOS评分、ADL评分均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为4.76%,低于对照组的11.90%,差异有统计学意义(P<0.05)。结论超早期小翼点切口锁孔经侧裂-岛叶入路显微手术治疗高血压基底节区脑出血效果确切,可提高血肿清除率、GOS评分及ADL评分,降低术后颅内压,且手术时间短,术中出血量少,并发症发生几率小,利于患者恢复。
Objective To observe the clinical effect of ultra-early scoliosis-insula approach with small pterional incision in the treatment of hypertensive intracerebral hemorrhage in the basal ganglia.Methods A total of 84 patients with hypertensive basal ganglia cerebral hemorrhage in our hospital from June 2019 to June 2020 were selected as the research objects.They were divided into control group and observation group by random number table,with 42 cases in each group.The control group was treated with transtemporal parietal craniotomy for hematoma removal,and the observation group was treated with ultra-early winglet incision keyhole transschizophrenia-insular approach microsurgery.The two groups were compared with surgical indicators,hematoma removal rate,and different time points.Intracranial pressure level,GOS score,ADL score,and complications.Results The operation time,intraoperative blood loss,and hospitalization time of the observation group were shorter than those of the control group,the difference was statistically significant(P<0.05);The clearance rate of hematoma in the observation group was 88.09%,which was higher than 73.80%in the control group,the difference was statistically significant(P<0.05);There was no significant difference in intracranial pressure between the observation group and the control group at 1 d after operation(P>0.05).The intracranial pressure at 3 and 5 d after operation was lower than that of the control group,the difference was statistically significant(P<0.05);After the operation,the GOS score and ADL score of the observation group were higher than those of the control group,the difference was statistically significant(P<0.05);The complication rate in the observation group was 4.76%,which was lower than 11.90%in the control group,the difference was statistically significant(P<0.05).Conclusion The ultra-early pterygoid incision keyhole transschizophrenia-insular approach microsurgery is effective in treating hypertensive basal ganglia cerebral hemorrhage,which can improve hematoma clearance,GOS score and ADL score,and reduce postoperative intracranial pressure.Moreover,the operation time is short,the amount of intraoperative blood loss is small,and the probability of complications is small,which is beneficial to the recovery of the patient.
作者
封浩野
赵雷
FENG Hao-ye;ZHAO Lei(Department of Neurosurgery,Baodi Clinical College,Tianjin Medical University,Tianjin 301800,China)
出处
《医学信息》
2021年第5期124-126,共3页
Journal of Medical Information
关键词
锁孔经侧裂-岛叶入路
高血压
基底节
脑出血
Keyhole transsylvian-insular approach
Hypertension
Basal ganglia
Cerebral hemorrhage
作者简介
封浩野(1991.9-),男,辽宁海城人,本科,住院医师,主要从事神经外科疾病的诊治工作;通讯作者:赵雷(1988.10-),男,辽宁朝阳人,本科,住院医师,主要从事神经外科疾病的诊治工作。
