立体定向引流术治疗基底节区脑出血手术时机的临床研究  被引量:2

Clinical research about operative juncture of patients with cerebral hemorrhage in basal ganglia treated by drainage of stereotaxis technique.

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作  者:王献文[1] 许长平[1] 于志强[1] 朱艳伟[1] 张士中[1] 

机构地区:[1]河南省安阳市中医院外三科,安阳455000

出  处:《立体定向和功能性神经外科杂志》2013年第6期360-361,共2页Chinese Journal of Stereotactic and Functional Neurosurgery

摘  要:目的探讨立体定向引流术治疗基底节区脑出血的手术时机。方法将78例行立体定向引流术的基底节区脑出血患者依据手术距发病时间分为三组,观察三组术后引流时间、残余血肿量、引流量和治疗效果的差别。结果在引流时间和残余血肿量、引流量方面,早期组和后期组均小于超早期组(P〈0.05);三组治疗的优良率由高到低依次为:早期组(74.29%)〉后期组(66.67%)〉超早期组(62.5%)。结论对基底节区脑出血行立体定向引流术,7-24h是最佳治疗时机。Objective To investigate operative juncture of cerebral hemorrhage in basal ganglia treated by drainage of stereotaxis technique. Methods 78 patients, with cerebral hemor- rhage in basal ganglia treated by drainage of stereotaxis technique, were were divided into 3 groups by times from illness to stereotactic surgeons. The difference of drainage time, residual he- matoma volume, drainage volume and treatment effect among three groups is analyzed. Results The values of drainage time, residual hematoma volume and drainage volume in the early group and the late group were less than the ultra early group(P〈0. 05). The excellent and good rates of three groups of treatment from high to low were the early group (74. 29%), the late group (66.67%) and the ultra early group (62.5%). Conclusion 7-24 hours is the right optimal time after cerebral hemorrhage in basal ganglia treated by drainage of stereotaxis technique.

关 键 词:脑出血 基底节区 立体定向引流术 手术时机 

分 类 号:R743.34[医药卫生—神经病学与精神病学]

 

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