立体三维定向系统下经小脑幕微创清除引流颅后窝血肿的临床效果分析  

Clinical Effect of Minimally Invasive Removal of Posterior Cranial Fossa Hematoma Through the Cerebellum in a Three-dimensional Stereotactic System

作　　者：梁意能 LIANG Yi-neng(Department of Neurosurgery,Wuming Hospital,Guangxi Medical University,Wuming,Guangxi,530199,China)

机构地区：[1]广西医科大学附属武鸣医院神经外科,广西武鸣530199

出　　处：《中外医疗》2020年第10期10-12,共3页China & Foreign Medical Treatment

基　　金：立体三维定向系统下经小脑幕微创清除引流后颅窝血肿的临床研究(20170426)。

摘　　要：目的研究并分析立体三维定向系统下经小脑幕微创清除引流颅后窝血肿的临床效果。方法方便选择自2017年8月-2018年8月期间该院收治的60例颅后窝血肿患者,将其分为常规组和研究组,常规组采用常规手术治疗,研究组采用立体三维定向系统下经小脑幕微创技术进行治疗,对比两组患者的临床疗效以及MBI、NIHSS评分及住院时间情况。结果研究组患者的总有效率为93.33%,常规组患者的总有效率为73.33%。研究组患者的临床效果明显优于常规组患者,差异有统计学意义(χ~2=6.894,P<0.05);所有患者接受治疗后的MBI评分、NIHSS评分、住院时间:常规组患者治疗后的评分为(71.68±2.41)分,研究组患者治疗后的评分为(97.95±0.02)分;常规组患者治疗后的评分为(16.13±1.03)分,研究组患者治疗后的评分为(8.11±0.41)分;研究组患者的住院时间为(4.32±1.43)个月,常规组患者的住院时间为(6.32±1.32)个月,研究组患者治疗后的MBI评分、NIHSS评分、住院时间情况明显优于常规组患者,均差异有统计学意义(t=6.485、5.103、8.265,P<0.05)。结论采用立体三维定向系统下经小脑幕微创技术清除引流颅后窝血肿的临床效果比常规手术临床效果更佳,具有一定的推广意义和临床应用价值。Objective To study and analyze the clinical effect of stereoscopic three-dimensional directional system for minimally invasive drainage of the posterior fossa hematoma. Methods Convenient select sixty patients with posterior fossa hematoma admitted to the hospital from August 2017 to August 2018 were enrolled. The patients were divided into routine group and study group. The routine group was treated with conventional surgery. The study group was under stereoscopic three-dimensional system. The treatment was performed by minimally invasive techniques of the cerebellum, and the clinical efficacy,MBI,NIHSS scores and hospitalization time of the two groups were compared. Results The total effective rate of the study group was 93.33%, and the total effective rate of the conventional group was 73.33%. The clinical effect of the study group was significantly better than that of the conventional group, the difference was statistically significant (χ~2=6.894, P<0.05). All patients received MBI score and NIHSS score after treatment, the hospitalization time:the score of the study group was(71.68±2.41)points. The score of the study group was(97.95±0.02)points. The score of the routine group was(16.13±1.03)points. The score of the study group was(8.11±0.41)points. The hospitalization time of the study group was(4.32±1.43) months, and the hospitalization time of the routine group was(6.32±1.32) months. The MBI score, NIHSS score,and hospitalization time of the patients in the study group were treated. Obviously better than the conventional grou, the difference was statistically significantp(t =6.485, 5.103, 8.265, P <0.05). Conclusion The clinical effect of clearing the posterior fossa hematoma through the cerebellar minimally invasive technique is better than that of conventional surgery. It has certain promotion significance and clinical application value.

关 键 词：立体三维定向系统 微创 颅后窝血肿 

分 类 号：R5[医药卫生—内科学]