小骨窗外侧裂入路显微手术治疗高血压基底节区出血分析  

Analysis of Microsurgical Treatment of Hypertensive Basal Ganglia Hemorrhage with Lateral Fissure Approach

作　　者：张永伟 ZHANG Yongwei(Department of Neurosurgery,Pizhou Dongda Hospital,Pizhou,Jiangsu Province,221300 China)

机构地区：[1]邳州东大医院神经外科,江苏邳州221300

出　　处：《中外医疗》2021年第34期83-86,共4页China & Foreign Medical Treatment

摘　　要：目的分析小骨窗外侧裂入路显微手术治疗高血压基底节区出血的效果。方法方便选取2019年1月—2021年7月该院收治的高血压基底节区出血患者为观察对象,共40例,按照随机分配法分为参照组(20例,传统大骨瓣开颅手术治疗)和研究组(20例,小骨窗外侧裂入路显微手术),对比分析两组的治疗效果、手术时间、术中出血量、住院时间、血肿清除率、术后恢复情况、并发症发生率以及复发情况。结果研究组治疗总有效率(95.00%)高于参照组(65.00%),差异有统计学意义(χ^(2)=3.906,P<0.05);研究组手术时间、术中出血量、住院时间分别为(1.76±0.26)h、(40.29±5.91)mL、(16.07±2.95)d,低于参照组(3.23±1.02)h、(102.68±5.28)mL、(26.28±5.23)d,研究组血肿清除率高于参照组,差异有统计学意义(t=6.245、35.207、7.604、8.503,P<0.05);研究组术后功能恢复情况优于参照组,差异有统计学意义(Z=-2.143,P<0.05);研究组并发症发生率、复发率分为5.00%,0.00%,低于参照组的40.00%,30.00%,差异有统计学意义(χ^(2)=5.161、4.902,P<0.05)。结论对高血压基底节区出血患者,予小骨窗外侧裂入路显微手术治疗,能一定程度减少手术时间,降低手术风险性,术后患者可以得到更快恢复,且病情控制效果良好,复发率较低,有助于患者术后身体机能恢复。Objective To analyze the effect of microsurgery for the treatment of hypertensive basal ganglia hemorrhage through the lateral fissure approach of the small bone window.Methods The patients with hypertensive basal ganglia hemorrhage admitted to the hospital from January 2019 to July 2021 were conveniently selected as the observation object.A total of 40 patients were included.According to the random allocation method,they were divided into the reference group(20 cases,traditional large bone flap craniotomy treatment)and study group(20 cases,small bone window lateral fissure approach microsurgery),comparative analysis of the treatment effect of the two groups,operation time,intraoperative blood loss,hospital stay,hematoma clearance rate,postoperative recovery status,complication rate and recurrence status.Results The total effective rate of treatment in the study group(95.00%)was higher than that of the reference group(65.00%),and the difference was statistically significant(χ^(2)=3.906,P<0.05);the operation time,intraoperative blood loss,and hospital stay of the study group were(1.76±0.26)h,(40.29±5.91)mL,(16.07±2.95)d,shorter than the reference group(3.23±1.02)h,(102.68±5.28)mL,(26.28±5.23)d,the hematoma clearance rate of the study group was higher than the reference group,the difference was statistically significant(t=6.245,35.207,7.604,8.503,P<0.05);the postoperative functional recovery of the study group was better than that of the reference group,the difference was statistically significant(Z=-2.143,P<0.05);the incidence of complications and the recurrence rate in the study group were 5.00%and 0.00%,which was lower than the reference group's 40.00%and 30.00%,and the difference was statistically significant(χ^(2)=5.161,4.902,P<0.05).Conclusion For patients with hypertensive basal ganglia hemorrhage,microsurgical treatment with small bone window lateral fissure approach can reduce the operation time to a certain extent,reduce the risk of operation,and the patients can recover faster after the operation

关 键 词：高血压基底节区出血 小骨窗外侧裂入路显微手术 效果分析 

分 类 号：R651[医药卫生—外科学]