高血压基底节区脑出血微骨窗经外侧裂手术治疗的临床疗效观察  

The Clinical Efficacy Observation of Keyhole Lateral Fissure Surgery on Hypertensive Basal Ganglia Hemorrhage

作　　者：周希汉[1] 肖连福[1] 黄陈铭[1] 李文生[1] 黄瑞宏[1] 陈昌勇[1] ZHOU Xihan;XIAO Lianfu;HUANG Chenming;LI Wensheng;HUANG Ruihong;CHEN Changyong(Neurosurgery Department, the Second Hospital in Sanming City, Fujian Province （Sanming, 366000)

机构地区：[1]福建省三明市第二医院神经外科,三明366000

出　　处：《生物医学工程学进展》2017年第4期232-235,共4页Progress in Biomedical Engineering

摘　　要：目的探讨高血压脑基底节区脑出血不同开颅手术治疗的疗效。方法选择同期92例高血压基底节区脑出血患者,随机分为观察组、对照组,分别采用微骨窗开颅外侧裂入路与常规骨瓣开颅进行治疗。结果两组在手术时间、术中出血量、住院时间,术后并发症等方面均存在明显差异(P<0.05)。随访6个月,根据ADL分级法判断比较,观察组恢复良好率和恢复不良率指标均较对照组优良,差异具有统计学上的意义(P<0.05)。结论高血压基底节区脑出血手术患者,选择微骨窗外侧裂入路手术方案比常规骨瓣开颅有着创伤更小、恢复更快、远期日常生活能力更优等优点,临床效果显著。Objective To study the clinical efficacy of different craniotomies on hypertensive basal ganglia hemorrhage. Methods Ninety - two cases of patients with hypertensive basal ganglia hemorrhage were chosen and randomly divided as observation group and control group. Then, the patients in observation group were treated with the lateral fissure approach of the craniotomy surgery while the patients in control group were treated with the conventional bone flap craniotomy surgery. Results There are significant differences between the two groups in the operative time, intraoperative blood loss, hospital stay, postoperative complications, etc （P 〈0. 05） . After a 6 -month - following, according to the ADL grading method, the good recovery ratio in observation group was signif-icantly higher than that in control group （P 〈 0. 05 ） . Conclusion Compared with the conventional bone flap craniotomy surgery, the lateral fissure approach of the craniotomy surgery for patients with hypertensive basal gan-glia hemorrhage shows many advantages, such as smaller trauma, faster recovery, and better long - term daily life ability for patients, and its clinical effect is remarkable.

关 键 词：高血压脑出血 基底节区 微骨窗 外侧裂 

分 类 号：R544.1[医药卫生—心血管疾病] R651.1[医药卫生—内科学]