显微镜下经侧裂入路手术治疗高血压基底节区脑出血的临床观察  

Clinical observation on microscopic transsylvian approach surgery in treatment of hypertensive basal ganglia hemorrhage

作　　者：李学迁 王坤鹏 时冲 徐鹏[1] 孙有树[1] 谷世娜 Li Xueqian;Wang Kunpeng;Shi Chong;Xu Peng;Sun Youshu;Gu Shina(Department of Neurosurgery,the 371st Hospital of Chinese People’s Liberation Army,Xinxiang 453000,China;Departemnt of General Medicine,the First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,China)

机构地区：[1]中国人民解放军371医院神经外科,河南新乡453000 [2]新乡医学院第一附属医院,河南卫辉453100

出　　处：《中国实用医刊》2019年第16期58-60,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨高血压基底节区脑出血采用显微镜下经侧裂入路手术治疗的效果.方法回顾性分析中国人民解放军371医院2015年1月至2017年10月收治的98例高血压基底节区脑出血患者的临床资料,依据手术入路方式不同,将采用经侧裂入路手术治疗的50例患者纳入试验组,将采用经颞叶皮层入路手术治疗的48例患者纳入对照组.术后随访6个月,比较两组手术相关指标、预后效果、并发症发生率.结果试验组血肿清除率高于对照组,术后意识恢复时间、手术时间短于对照组,差异有统计学意义(P<0.05);试验组预后总优良率高于对照组,差异有统计学意义(P<0.05);试验组并发症总发生率低于对照组,差异有统计学意义(P<0.05).结论高血压基底节区脑出血采用显微镜下经侧裂入路手术治疗不仅可提高血肿清除率,降低并发症发生率,还可改善患者预后效果.Objective To investigate the effects of microscopic transsylvian approach surgery in treatment of hypertensive basal ganglia hemorrhage. Methods The clinical data of 98 patients with hypertensive basal ganglia hemorrhage admitted in the 371 st Hospital of Chinese People's Liberation Army from January 2015 to October 2017 were retrospectively analyzed. According to the surgical approach methods, 50 patients with transsylvian approach surgery were included in study group, and 48 patients with transtemporal cortex approach surgery were included in control group. After postoperative 6-month follow-up, the surgical indexes, prognostic effects and incidence of complications were compared between the two groups. Results The clearance rate of hematoma in study group was higher than that in control group, the postoperative consciousness recovery time and operation time in study group were shorter than those in control group ( P<0. 05 ). The total excellent rate of prognosis in study group was higher than that in control group ( P<0. 05 ). The total incidence of complications in study group was lower than that in control group ( P <0. 05 ). Conclusions Microscopic transsylvian approach surgery in treatment of hypertensive basal ganglia hemorrhage can increase the clearance rate of hematoma, decrease the incidence of complications, and improve prognostic effects of patients.

关 键 词：高血压基底节区脑出血 显微镜 经侧裂入路 经颞叶皮层入路 

分 类 号：R651.12[医药卫生—外科学]