通过运动诱发电位比较微创穿刺术与小骨窗开颅术治疗高血压性脑出血的疗效  

Comparison of therapuetic effect between minimally invasive puncture and small bone window of craniotomy by motor evoked potential for the treatment of hypertensive cerebral hemorrhage

作　　者：麦荣康[1] 姚国仙[1] 徐华[1] 黄居科[1] 吴良贵[1] 王刚[1] 李宏伟[1] 

机构地区：[1]宝安区人民医院神经外科,深圳市518101

出　　处：《岭南现代临床外科》2009年第1期68-69,F0003,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的比较微创穿刺血肿粉碎清除术和小骨窗开颅血肿清除术治疗高血压脑出血运动诱发电位的影响。方法将60例患者分为微创穿刺血肿粉碎清除术36例和小骨窗开颅手术24例,治疗后第1、2周行运动诱发电位(MEP)检测并进行比较。结果治疗后1周,微创组患者中有29例可引出MEP波形,小骨窗组只有9例可引出肯定波形;治疗后2周,微创组全部病例均能引出MEP波形,小骨窗组有24例患者能引出MEP波形,但潜伏期明显长于微创组。结论微创穿刺引流不但可清除血肿,而且对脑组织损伤小,较小骨窗开颅血肿清除术有利于神经功能的恢复。Objective To compare the motor evoked potential （MEP） of minimally invasive removal of puncture hematoma smash and small bone window of craniotomy evacuation of hematoma for the treatment of hypertensive cerebral hemorrhage. Methods 60 cases with hypertensive cerebral hemorrhage were divided into group A and group B. The 36 cases with minimally invasive evacuation of hematoma were in group A and 24 cases with small bone window craniotomy were in group B. The motor evoked potential was detected and compated between two groups in the first and second week after treatment. Results The 29 cases and 9 cases with MEP wave form were induced in goup A and group B respectively 1 week after treatment. In the 2 weeks after treament, the MEP wave form was induced in two groups, but in the lateney, the group B was significantly longer than that group A. Conclusion Minimally invasive punctured drainage not only can clear hematoma but also has less injury for cerebral tissue, A smaller bone window craniotomy for evacuation of hematoma would contribute to recovery of nerve function.

关 键 词：高血压脑出血 微创血肿清除术 小骨窗开颅血肿清除术 运动诱发电位 

分 类 号：R651.1[医药卫生—外科学]