经纵裂胼胝体入路治疗重型内侧型丘脑出血及对患者神经功能和切口感染率的影响  

Treatment of Severe Medial Thalamic Hemorrhage Through Longitudinal Fission Corpus Callosum and Its Effect on Patients'Nerve Function and Incision Infection Rate

作　　者：赵鹏[1] 查正江[1] 施正生[1] 陈加富 ZHAO Peng;ZHA Zheng-jiang;SHI Zheng-sheng;CHEN Jia-fu(Department of Neurosurgery,Anqing Hospital,Anhui Medical University,Anqing 246003,Anhui,China)

机构地区：[1]安徽医科大学附属安庆医院神经外科,安徽安庆246003

出　　处：《医学信息》2020年第19期85-87,共3页Journal of Medical Information

摘　　要：目的观察经纵裂胼胝体入路在重型内侧型丘脑出血患者中的临床效果。方法选取2015年12月~2018年5月我院收治的重型内侧型丘脑出血患者70例,采用随机数字法分为对照组和观察组,每组35例。对照组采用单针微创穿刺治疗,观察组采用经纵裂胼胝体入路治疗,比较两组治疗前后血肿量、神经功能评分和治疗7 d后泌尿系、肺部、切口的感染发生情况。结果术后第1、3、5、7天,观察组血肿量均少于对照组,神经功能评分均高于对照组,差异有统计学意义(P<0.05);术后第7天,观察组肺部感染、泌尿系感染和切口感染发生率低于对照组,差异有统计学意义(P<0.05)。结论将经纵裂胼胝体入路用于重型内侧型丘脑出血患者中疗效确切,有助于改善患者神经功能,降低切口感染率。Objective To observe the clinical effect of the longitudinal fissure corpus callosum approach in patients with severe medial thalamic hemorrhage.Methods A total of 70 patients with severe medial thalamic hemorrhage admitted to our hospital from December 2015 to May 2018 were selected and divided into control group and observation group by random number method,with 35 cases in each group.The control group was treated with single-needle minimally invasive puncture,the observation group was treated with longitudinal fissure corpus callosum approach,and the incidence of urinary tract,lung and incision infection was compared between the two groups before and after treatment with hematoma volume,neurological function score and 7 d.Results At 1,3,5,and 7 d after operation,the hematoma volume of the observation group was less than that of the control group,and the neurological function scores were higher than those of the control group,the difference was statistically significant(P<0.05);on the 7th day after the operation,the observation group the incidence of lung infection,urinary tract infection and incision infection was lower than the control group,the difference was statistically significant(P<0.05).Conclusion The transvertical fissure corpus callosum approach was effective in patients with severe medial thalamic hemorrhage,which was helpful to improve the patient's nerve function and reduce the incidence of incision infection.

关 键 词：经纵裂胼胝体入路 重型内侧型丘脑出血 神经功能 切口感染率 

分 类 号：R651.1[医药卫生—外科学]