小骨窗开颅与立体定向置管抽吸治疗基底节区高血压脑出血的临床研究  

Clinical Observation and Prognosis on Small Bone Window Craniotomy and Stereotactic Suction Tube for Treatment of Hypertensive Cerebral Hemorrhage of Basal Ganglia Region

作　　者：杨学[1] 陈劲草[2] 张雪梅[1] 

机构地区：[1]湖北省枣阳市第一人民医院,湖北枣阳441200 [2]华中科技大学同济医学院附属同济医院

出　　处：《中西医结合心脑血管病杂志》2016年第13期1472-1474,共3页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：国家自然科学基金资助(No.30872823);同济医院新技术新业务基金资助(No.2010021)

摘　　要：目的分析小骨窗开颅与立体定向置管抽吸治疗基底节区高血压脑出血的临床疗效。方法选取我院神经外科2014年1月—2014年12月收治的80例基底节区高血压脑出血的病人作为研究对象,随机数字表法分为立体定向置管抽吸治疗（试验组）和小骨窗脑血肿清除术治疗（对照组）,每组40例。回顾性分析两种治疗方法的疗效、预后及并发症。结果试验组术后恢复良好率是77.50%,对照组术后恢复良好率是72.50%,组间相比无统计学意义（χ~2=2.53,P〉0.05）。试验组和对照组手术时间、血肿清除率、住院时间组间相比差异有统计学意义（P〈0.05）。试验组和对照组两组并发症发生率组间对比差异有统计学意义（P〈0.05）。结论立体定向置管抽吸治疗与小骨窗开颅相比,二者的术后恢复良好率并无明显差异,但在手术操作及并发症方面立体定向置管抽吸治疗明显优于小骨窗开颅治疗,预后较好。Objective To explore the effects and prognosis of small bone window craniotomy and stereotactic suction tube for treat- ment of hypertensive cerebral hemorrhage of basal ganglia region.Methods Eighty patients with hypertension cerebral hemorrhage of basal ganglia region from January 2014 to December 2014 were randomly divided into two groups： control group（ n = 40） treated with small bone window craniotomy,and treatment group（ n = 40）treated with stereotactic suction tube.The curative effect, progno- sis, and complications were observedRasult8 The postoperative good recovery rate was 77.50% in treatment group and 72.50% in control group （ x^2 = 2.53, P 〉0.05）.There was significant difference in operation time, hematoma clearance rate, length of hospital stay between two groups （ P 〈0.05） .There was significant difference in complications between two groups （ P 〈0.05）.Conclusion The stereotactic suction tube after treatment compared with small bone window craniotomy can decrease complications, and has good prognosis.

关 键 词：高血压脑出血 小骨窗脑血肿清除术 立体定向置管抽吸 血肿清除率 手术时间 

分 类 号：R651.1[医药卫生—外科学] R269[医药卫生—临床医学]