CT辅助下立体定向穿刺引流术治疗基底节区脑出血临床观察  

Clinical observation of CT-assisted stereotactic puncture drainage in the treatment of basal ganglia cerebral hemorrhage

作　　者：闫斌 朱炎 YAN Bin;ZHU Yan(Department of Brain Surgery,Zhoukou Hospital of Traditional Chinese Medicine,Zhoukou 466000,Chin)

机构地区：[1]周口市中医院脑外科,河南周口466000

出　　处：《中国实用神经疾病杂志》2018年第14期1596-1599,共4页Chinese Journal of Practical Nervous Diseases

摘　　要：目的分析CT辅助下立体定向穿刺引流术治疗基底节区脑出血的临床效果。方法选择100例基底节区脑出血患者,随机分为对照组和观察组各50例,对照组采用常规药物治疗,观察组采取CT联合定向立体式穿刺引流手术治疗,比较2组治疗效果。结果 2组治疗后NIHSS评分均较治疗前降低,对照组治疗后7d、1个月、3个月NIHSS评分均明显高于观察组(P<0.05);对照组并发症发生率明显高于观察组(P<0.05);观察组各生存指标评分均显著高于对照组(P<0.05)。结论CT辅助穿刺引流手术治疗基底节区脑出血的效果显著,能有效改善神经功能,减少并发症,提高患者的生存质量。Objective To analyze the clinical effect of CT assisted stereotactic puncture drainage in the treatment of basal ganglia cerebral hemorrhage. Methods 100 patients with basal ganglia hemorrhage were selected as control group and observation group,50 cases in each group.The control group was treated with routine drug,and the observation group was treated by CT combined with stereotactic puncture and drainage.The treatment effects of the two groups were compared. Results NIHSS scores after treatment in both groups were lower than those before treatment,and NIHSS scores of the control group at 7 day,1 month,and 3 month were significantly higher than those of the observation group （ P 〈0.05）.The incidence of complications in the control group was significantly higher than the observation group （ P 〈0.05）.Moreover,the scores of each survival index in the observation group were significantly higher than those in the control group （ P 〈0.05）. Conclusion CT assisted puncture and drainage has a significant therapeutic effect on basal ganglia cerebral hemorrhage patients,and can effectively improve neurological function,reduce complications,and improve the quality of life.

关 键 词：基底节脑出血 CT 立体定向 穿刺引流 脑外科手术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]