小骨窗开颅显微镜下血肿清除与保守治疗30~40 mL高血压基底节出血的效果比较  

Clinical efficacy of endoscopic hematoma evacuation with small bone window versus conser-vative treatment in hypertensive basal ganglia hemorrhage with 30-40 mL

作　　者：李越[1] 欧海荣[1] 李辉[1] LI Yue;OU Hai-rong;LI Hui(Department of Neurosurgery,Wuchuan People's Hospital,Zhanjiang 524500,China)

机构地区：[1]广东省吴川市人民医院神经外科,广东湛江524500

出　　处：《广东医科大学学报》2021年第2期198-200,共3页Journal of Guangdong Medical University

摘　　要：目的比较小骨窗开颅显微镜下血肿清除与保守治疗30~40 mL高血压基底节出血的疗效。方法57例30~40 mL高血压基底节出血患者随机采用小骨窗显微镜下血肿清除(n=30)或保守治疗(n=27),比较两组住院时间、神经功能缺损评分(NIHSS)评分、格拉斯哥昏迷评分(GCS)、并发症情况。结果与保守组比较,手术组住院时间较短,并发症较少,NIHSS评分较低,而GCS评分较高(P<0.01)。结论小骨窗开颅显微镜下血肿清除治疗30~40 mL高血压基底节出血的疗效较好、更安全。Objective To compare the clinical efficacy of endoscopic hematoma evacuation(EHE)with small bone window and conservative treatment in hypertensive basal ganglia hemorrhage(HBGH)with 30-40 mL.Methods Fiftyseven patients with 30-40 mL HBGH were randomly treated with EHE(n=30)and conservative therapy(n=27).Hospital stay,NIHSS,Glasgow coma scale(GCS)and complications were compared between two groups.Results Compared with conservative group,hospital stay,complications and NIHSS were lower,while GCS was higher in operation group(P<0.01).Conclusion EHE with small bone window is effective and safe in patients with 30-40 mL HBGH.

关 键 词：显微镜下血肿清除 小骨窗 高血压基底节出血 

分 类 号：R651.12[医药卫生—外科学]