检索规则说明:AND代表“并且”;OR代表“或者”;NOT代表“不包含”;(注意必须大写,运算符两边需空一格)
检 索 范 例 :范例一: (K=图书馆学 OR K=情报学) AND A=范并思 范例二:J=计算机应用与软件 AND (U=C++ OR U=Basic) NOT M=Visual
作 者:路宁[1] 张健[1] 韩松[2] LU Ning ZHANG Jian HAN Song(The First People's Hospital of Yinchuan, Yinchuan 750001, China Beijing Sanbo Neurologist Hospital of Capital Medical University, Beijing 100093, China)
机构地区:[1]宁夏银川市第一人民医院,宁夏银川750001 [2]首都医科大学北京三博脑科医院,北京100093
出 处:《宁夏医学杂志》2017年第9期802-804,共3页Ningxia Medical Journal
基 金:首都医科大学基础临床科研合作基金资助项目(15JL08)
摘 要:目的比较经侧裂岛叶与颞叶皮质入路早期手术治疗基底节区高血压脑出血患者的效果。方法选择手术治疗的基底节区高血压脑出血患者128例,按照手术方式的不同分为对照组和观察组,各64例。所有患者从发病至手术时间小于6 h,对照组行传统经颞叶皮质层入路手术,观察组行经侧裂岛叶入路显微手术,比较2组患者的围术期情况、血肿清除率、术后并发症发生率,并随访6个月比较2组患者的恢复情况。结果观察组患者的手术时间、意识恢复时间均明显少于对照组(P<0.05);观察组患者的血肿清除率、术后7 d GCS评分均明显高于对照组(P<0.05);观察组患者的术后并发症发生率为7.81%,明显低于对照组的20.31%(P<0.05)。术后6个月随访,观察组患者的预后优良率为75.00%,明显高于对照组的46.88%(P<0.05)。结论与经颞叶皮质入路早期手术治疗基底节区高血压脑出血相比,经侧裂岛叶入路手术血肿清除率高,术后并发症少,患者术后恢复效果佳,安全性高,具有临床推广价值。Objective To compare the efficacy and safety between the lateral fissure insula and the temporal lobe cortex m ear- ly surgical treatment of basal ganglia in patients with hypertensive cerebral hemorrhage. Methods 128 patients with hypertensive cere- bral hemorrhage in basal ganglia were randomly divided into control group and observation group ( n = 64). All patients from onset to op- eration time was less than 6h, the control group underwent the traditional temporal cortex approach surgery, observation group received lat- eral fissure insula mierosurgery, compared the peri - operation period, hematoma clearance rate,incidence of postoperative complications. And compared the recovery of two groups after 6 months following - up. Results The operation time, consciousness recovery time of observation group were significantly less than those in control group (P 〈 0. 05 ) ;The hematoma clearance rate, postoperative 7d GCS scores of observation group were significantly higher than that in control group (P 〈 0.05 ) ; In the observation group, the incidence of postopera- tive complications was 7.81% significantly lower than that in control group 21.88% (P 〈 0. 05 ) ;6 months after surgery, the excellent rate in observation group (75%) was significantly higher than that in control group (46.88%) ( P 〈 0.05 ). Conclusion It is good effect, high safety, and worthy for clinical promotion that the temporal cortex approach of early surgical treatment of hypertensive basal ganglia cerebral hemorrhage compared transsylvian transinsular approach in hematoma clearance rate, postoperative complications and postoperative recovery.
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在载入数据...
正在链接到云南高校图书馆文献保障联盟下载...
云南高校图书馆联盟文献共享服务平台 版权所有©
您的IP:216.73.216.145