新型冷光源吸引器在脑深部血肿清除术中的应用研究  

Applied research on new type of lighted surgical aspirator in deep brain hematoma removal

作　　者：陈尚军[1] 千超 王海燕[2] 左毅[1] 程光[3] 韦鹏方 

机构地区：[1]西安医学院附属核工业215医院神经外科,陕西咸阳712000 [2]西安医学院附属核工业215医院麻醉科,陕西咸阳712000 [3]第四军医大学西京医院神经外科,西安710032 [4]陕西中医学院第一附属医院神经外科,陕西咸阳712000

出　　处：《医疗卫生装备》2017年第2期89-91,共3页Chinese Medical Equipment Journal

摘　　要：目的:探讨新型冷光源吸引器在脑深部血肿清除术中的应用效果。方法:将153例非外伤性基底节区脑出血患者按统计学随机化法分为治疗组与对照组,2组均在手术室内行常规去骨瓣减压脑深部血肿清除手术治疗,对照组使用普通吸引器协助手术操作,治疗组使用改良冷光源新型吸引器协助手术操作。结果:2组血肿清除率无明显差异(P>0.05)。2组手术时间比较相差59.85 min,住院时间缩短15.23 d,后期格拉斯哥预后评分(Glasgow outcome scale,GOS)治疗组高于对照组,差异均有统计学意义(P<0.05)。治疗组治疗良好率比对照组高24.9%。治疗组日常生活活动能力(activity of daily living,ADL)评分明显高于对照组。结论:新型冷光源吸引器可解决术中视野暴露及光源问题,缩短手术时间,提高疾病转归率。Objective To explore the application effect of a new lighted surgical aspirator in deep brain hematoma removal operation. Methods Totally 153 patients of non-traumatic basis festival area cerebral hemorrhage were randomly divided into a control group and a treatment group. Both the groups underwent clearance of intracranial hematoma and decompressive craniectomy surgical operation in the operating room, with the common aspirator involved in the control group and the lighted one in the treatment group. Results There was no significant difference between the rates of hematomal removal in the groups（P〈0.05）. The treatment group had the operating time less by 59.85 min and the hospital stay decreased by 15.23 d than those in the control group（P〈0.05）. The GOS score and daily viability of the treatment group was also statistically higher than those of the control group（P〈0.05）, and the effective rate in the treatment group was also more than that in the control group by 24.9%（P〈0.05）. Conclusion The new aspirator solves the problems in visual field and light source, decreases the operating time and improves the disease prognosis.

关 键 词：基底节区脑出血手术 血肿清除 冷光源 吸引器 视野照明 

分 类 号：R651.1[医药卫生—外科学]