摘要
目的探究显微镜下经侧裂入路开颅血肿清除术治疗基底节区高血压脑出血(HICH)患者的疗效。方法择取97例2017年5月至2020年6月于郑州市金水区总医院就诊的基底节区HICH患者,根据手术方案的不同分为研究组(49例)与对照组(48例),研究组采用显微镜下经侧裂入路开颅血肿清除术,对照组采用传统经颞叶皮层入路开颅血肿清除术,对比两组的血肿清除率、格拉斯哥预后量表评分(GOS)、术后生存质量、并发症发生率。结果研究组血肿清除率、GOS量表评分、WHOQOL-100量表评分高于对照组,住院时间少于对照组,并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论基底节区HICH患者应用显微镜下经侧裂入路开颅血肿清除术可以提高血肿清除率与术后生存质量,改善预后,降低并发症发生率。
Objective To investigate the effect of translateral fissure craniotomy for removal of hematoma in patients with hypertensive basal ganglia cerebral hemorrhage(HICH)under the microscopic.Methods 97 patients with HICH in Zhengzhou Jinshui District general Hospital from May 2017 to June 2020 were selected,and divided into study group(49 cases)and control group(48 cases)according to different surgical plans.The study group was treated with craniotomy hematoma removal through lateral fissure approach under microscope,while the control group was treated with traditional craniotomy hematoma removal through temporal cortex approach.The hematoma clearance rate,Glasgow outcome Scale score(GOS),postoperative quality of life and incidence of complications were compared between the two groups.Results The hematoma clearance rate,GOS scale score and WHOQOL-100 scale score in the study group were higher than those in the control group,the length of hospitalization was shorter than that in the control group,and the incidence of complications was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Under the microscope,lateral fissure craniotomy for the removal of hematoma in the basal ganglia region of HICH patients can improve the hematoma clearance rate and postoperative quality of life,improve the prognosis,and reduce the incidence of complications,
作者
李志信
吴现磊
LI Zhixin;WU Xianlei(Department of Neurosurgery,Jinshui District General Hospital,Zhengzhou Henan,450000,China)
出处
《临床研究》
2021年第10期32-34,共3页
Clinical Research
关键词
经侧裂入路
显微镜辅助手术
开颅血肿清除术
高血压脑出血
基底节
lateral fissure approach
Microscope-assisted surgery
Removal of craniotomy hematoma
Hypertensive cerebral hemorrhage
Basal ganglia
作者简介
李志信(1985-),男,汉族,河南内乡人,主治医师,本科。研究方向:脑出血、颅脑损伤。
