直切口小骨窗微创显微手术治疗亚急性期、慢性期基底节区脑出血  

Treatment of Subacute, Chronic Cerebral Basal Ganglia Hemorrhage via Straight Incision and Minicraniotomy Microsurgical Operation

作　　者：付强[1] 陈培培[1] 朱晓锋[1] 李绍山[1] 刘波[1] 柳琛[1] 周庆九[1] 

机构地区：[1]新疆医科大学第一附属医院,乌鲁木齐830054

出　　处：《新疆医学》2015年第8期1036-1039,共4页Xinjiang Medical Journal

基　　金：新疆维吾尔自治区自然科学基金资助项目(项目编号:2012211A079)

摘　　要：目的探讨直切口小骨窗微创显微手术治疗亚急性期、慢性期基底节区脑出血的临床疗效。方法回顾性分析我科收治的分别经手术及药物保守治疗的30例亚急性期、慢性期基底节区脑出血(血肿量20 ml^50 ml、格拉斯哥昏迷评分表(GCS)评分≤13分、卡氏功能状态评分量表(KPS)评分≤60分患者的临床资料。其中,手术组15例,药物保守治疗组15例,所有患者均自入院即开始进行床旁康复治疗。对比两组患者入院7 d及出院后3月的GCS评分及KPS评分。结果手术组患者入院7 d及出院后3月的GCS评分及KPS评分明显高于药物保守治疗组患者。结论直切口小骨窗微创显微手术是目前治疗亚急性期、慢性期基底节区脑出血创伤较小、起效快、疗效肯定的治疗方法,具有一定的临床推广应用价值。Objective To investigate the clinical effect of Treatment of subacute, chronic cerebral basal ganglia hemorrhage via Straight incision and minieraniotomy mierosurgieal operation. Methods Retrospective analysis the clinical data of 30 patients of subacute, chronic cerebral basal ganglia hemorrhage [Volume of hematoma 20ml-50ml, Glasgow Coma Score （GCS） were below 13 points, （KPS） score less than 60 points]. 15 cases received the treatment of operation, the other 15 patients treated with drug treatment, all the patients started bedside rehabilitation therapy since they were hospitalized, we compared GCS score and KPS score （7 days and 3 months after discharge） between the two groups. Results The GCS score and KPS score （7 days and 2 weeks after admission, 1 month and 3 months after discharge） of the operative group was significantly increased than the drug group patients. Conclusion Treatment of subaeute, chronic cerebral basal ganglia hemorrhage via Straight incision and minieraniotomy mierosurgieal operation has some advantages such as mini-invasion, efficacy, so,it is worth to be popularize in the clinical application.

关 键 词：直切口小骨窗微创显微手术 亚急性期 慢性期 基底节区脑出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]