影响基底节区血肿微创手术治疗预后的相关因素分析  

Analysis of Factors Correlated with the Prognosis of Microsurgical Treatment for Haematoma in Basal Ganglia

作　　者：邓友寿[1] 聂岚 程广[1] 

机构地区：[1]攀枝花市中西医结合医院神经外科,四川攀枝花617000 [2]攀枝花大学医学系,四川攀枝花617000

出　　处：《华西医学》2007年第4期798-799,共2页West China Medical Journal

摘　　要：目的:探讨影响基底节区血肿微创手术治疗预后的相关因素。方法:按手术后3个月接受最后一次日常生活能力(ADL)分级评定,将83例基底节区血肿微创手术治疗病人进行分组,确定Ⅰ级、Ⅱ级、Ⅲ级的病人为甲组(44例),Ⅳ级、Ⅴ级的病人为乙组(39例)。通过对两组病人入院时的中国卒中量表(CSS)评分、病情轻重、年龄、出血量、血肿穿刺针远端位于血肿的位置(简称穿刺针位置)、术后48小时的血肿清除率(简称血肿清除率)等影响预后的因素进行统计列表分析,寻找其对预后影响的相关性。结果:两组间术前诸多因素统计学分析差异无显著性,术后甲组血肿中穿刺针位置理想,39例,占该组88.6%;血肿清除理想,36例,占该组81.8%。穿刺针位置理想、血肿清除理想、病情较轻等与乙组相比差异存在显著性(P<0.001)。结论:影响基底节区血肿微创手术治疗预后的关键因素是发病时病情较轻,穿刺针位置理想,短期内能将血肿大部分清除,将减轻血肿周围病理的产生和发展,减少并发症的发生率,对预后起关键作用。Objective:The aim of the study is to probe the factors correlated with the prognosis of microsurgical treatment for haematoma in basal ganglia.Methods:Eighty-three patients suffered with haematoma in basal ganglia and accepted microsurgical treatment were enrolled in the study,and were classified according to the last activity of daily living three month after operation(ADL)as follows:A group including Ⅰgrade,Ⅱgrade,and Ⅲ grade,total 44 cases;B group including Ⅳgrade and Ⅴgrade,total 39 cases.Score of China...

关 键 词：基底节区血肿 微创 穿刺针位置 预后 

分 类 号：R651.1[医药卫生—外科学]