摘要
目的:观察直切口小骨窗经侧裂入路血肿清除术对基底节脑出血患者术后血肿清除率及神经功能的影响。方法:选取基底节脑出血患者86例,随机分成A组和B组,每组各43例,A组实施直切口小骨窗经侧裂入路血肿清除术,B组实施骨瓣开颅术,对比两组的手术指标、血肿清除率及神经功能情况。结果:A组手术时间、术中出血量及平均住院时间均较B组短,差异有统计学意义(P<0.05);A组血肿清除率较B组血肿清除率高,组间比较差异没有统计学意义(P>0.05);A组mRS评分低于B组,A组SNSS评分高于B组,差异具有统计学意义(P<0.05)。结论:在基底节脑出血患者中实施直切口小骨窗经侧裂入路血肿清除术,有较高的血肿清除率,对患者术后神经功能的影响更小。
Objective: To observe the effect of hematoma removal by straight-incision small bone window through lateral fissure approach on postoperative hematoma clearance rate and nerve function in patients with basal ganglia cerebral hemorrhage. Methods: 86 patients with basal ganglia intracerebral hemorrhage were randomized into Group A(43 cases)and Group B(43 cases). Group A performed hematoma removal by straight-incision small bone window through lateral fissure approach, while Group B underwent bone flap craniotomy. Then the surgical indexes, hematoma clearance rate, and nerve function of the two groups were compared. Results: The operation time, intraoperative blood loss and average hospital stay of group A were all shorter, which were of statistical differences(P<0.05);the hematoma clearance rate in Group A were higher than that in Group B, but there was no statistically significant difference between the groups(P>0.05);mRS score of Group A is lower than Group B, while SNSS score in Group A is higher than Group B, there existed statistical differences(P<0.05). Conclusion: In patients with basal ganglia intracerebral hemorrhage, hematoma removal by straight-incision small bone window through lateral fissure approach has a higher hematoma clearance rate and less effect on the postoperative neurological function.
作者
郭鑫
GUO Xin(Dept.of Neurosurgery,the 7th People's Hospital of Zhengzhou,Zhengzhou 450000,China)
出处
《华夏医学》
CAS
2020年第6期146-149,共4页
Acta Medicinae Sinica
关键词
直切口小骨窗经侧裂入路血肿清除术
基底节脑出血
血肿清除率
神经功能
hematoma removal by straight-incision small bone window through lateral fissure approach
basal ganglia cerebral hemorrhage
hematoma clearance rate
nerve function
