摘要
目的探讨开颅手术与微创手术治疗基底节区高血压脑出血的临床疗效及安全性。方法选择于2015年1月~2016年1月行手术治疗的基底节区高血压脑出血100例,根据治疗方法的不同分为观察组与对照组,每组50例,观察组采用显微镜下微创手术治疗,对照组采用传统开颅手术治疗,比较两组术中指标、术后疗效及并发症发生率。结果 (1)观察组的术中出血量明显少于对照组,手术时间、住院时间等明显短于对照组,组间差异具统计学意义(P<0.05);(2)观察组显效29例,总有效率为96.0%,对照组显效12例,总有效率为72.0%,组间差异具统计学意义(P<0.05);(3)观察组共出现并发症17例,并发症发生率为34.0%,对照组共出现并发症43例,并发症发生率为96.0%,组间差异具统计学意义(P<0.05)。结论显微镜下微创手术治疗基底节区高血压脑出血效果好,恢复快,创伤小,并发症发生率低,值得推广应用。
Objective To analyze and compare the clinical outcomes of traditional craniotomy with minimally inva- sive surgery under the microscope for the treatment of basal ganglia hypertensive cerebral hemorrhage. Methods Total of 100 basal ganglia hypertensive cerebral hemorrhage patients in Feicheng Hospital of Traditional Chinese Medicine from Jan. 2015 to Jan. 2016 were divided into traditional craniotomy group（traditional group, 50 cases） and minimally inva- sire surgery under the microscope group （minimally invasive group, 50 cases） depending on different surgical approa- ches. Operative time, blood loss, hospital stay, neurological function defect score, clinical efficacy and complications were recorded and compared. Results （~）The amount of bleeding in the observation group was significantly less than that of the control group, the operation time, hospitalization time and so on were significantly shorter than the control group, the difference between the groups was statistically significant （ P 〈 0. 05 ） ; （~）In observation group, 29 cases were markedly effective, the total effective rate was 96%, In the control group, 12 cases were markedly effective, the total effective rate was 72%, the difference between the groups was statistically significant （P 〈 0. 05） ;（~）There were 17 complications in the observation group, the complication rate was 34%, the control group were 43 cases of complications, the complica- tion rate was 96%, the difference between the groups was statistically significant （P 〈0. 05）. Conclusions Minimally invasive surgery under the microscope for the treatment of basal ganglia hypertensive cerebral hemorrhage has better clini- cal efficacy than traditional craniotomy with less blood loss, lower complication rates and faster recovery of neurological function, thus is worthy of the clinical application.
作者
牛广伟
戴金应
索新文
韩娜
NIU Guangwei DAI Jinying SUO Xinwen et al.(The First Affiliated Hospital of China Medical University, Anshan hospi- tal, Department of Neurosurgery, Anshan Liaoning 114000)
出处
《航空航天医学杂志》
2017年第2期141-143,共3页
Journal of Aerospace medicine
关键词
开颅手术
微创手术
基底节
高血压脑出血
Craniotomy
minimally invasive surgery
Basal ganglia
Hypertensive intracerebral hemorrhage
