超声引导下经微骨窗显微手术治疗基底节区脑出血的临床应用效果观察  

Clinical application of ultrasound-guided key-hole approach for microsurgical treatment of basal ganglia cerebral hemorrhage

作　　者：覃思杰 刘桂彪[2] 罗建设 唐娟 韦秋凤 覃丽云 黄焕汉 李桂红 谢正德[2] QIN Si-jie, LIU Gui-biao, LUO Jian-she, et al.(Department of Neurosurgery, the People′s Hospital of Yizhou District of Hechi City, Guangxi 546300, China)

机构地区：[1]河池市宜州区人民医院神经外科,广西546300 [2]广西科技大学第一附属医院神经外科,柳州545002 [3]河池市宜州区人民医院行政科室,广西546300 [4]河池市宜州区人民医院护理部,广西546300 [5]河池市宜州区人民医院B超室,广西546300

出　　处：《中国临床新医学》2018年第10期989-992,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：河池市科学研究与技术开发计划项目(编号:河科攻1623-22)

摘　　要：目的观察在超声引导下经微骨窗显微手术治疗基底节区脑出血的临床应用效果。方法对该院2016-01～2017-12收治的111例高血压基底节区脑出血患者的临床资料进行回顾性分析,将其分为研究组62例和对照组49例,研究组在超声引导下行经微骨窗显微手术治疗,对照组则行传统的微骨窗显微手术治疗,比较分析两组临床疗效。结果研究组在手术时间、术中出血量、术后血肿清除率的情况优于对照组,两组比较差异有统计学意义(P <0. 01);术后随访3个月及以上,研究组日常生活能力(ADL)评分优于对照组,两组比较差异有统计学意义(P <0. 01)。结论高血压基底节区脑出血在实时超声引导下行微骨窗入路显微手术治疗可以准确定位脑内血肿的位置,减少脑组织副损伤,可明显改善患者预后,是适合基层医院应用的有效手术治疗方法。Objective To explore the clinical value of ultrasound-guided key-hole approach for microsurgical treatment of basal ganglia cerebral hemorrhage. Methods We retrospectively analyzed the clinical data of 111 patients with hypertensive basal ganglia hemorrhage in our hospital between January 2016 and December 2017. The patients were divided into study group and control group. The study group（ n =62） underwent ultrasound-guided key-hole approach for microsurgical treatment and the control group（ n =49） received traditional microsurgical treatment. The clinical efficacy was compared between the two groups. Results The operation time of the study group was significantly shorter than that of the control group（ P 〈0.01）. The intraoperative blood loss of the study group was significantly less than that of the control group（ P 〈0.01）. The postoperative hematoma clearance rate of the study group was significantly lower than that of the control group（ P 〈0.01）. The ADL scores of the study group were better than those of the control group after a follow-up of 3 months（ P 〈0.01）. Conclusion Ultrasound-guided key-hole approach can confirm the location of hematoma accurately and protect the peripheral normal tissues and significantly improve the prognosis for the patients with basal ganglia cerebral hemorrhage.

关 键 词：微骨窗 脑出血 超声引导 显微手术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]