小骨窗显微手术治疗基底节区高血压脑出血的效果及安全性  

Effect and safety of small bone window microsurgery in the treatment of hypertensive intracerebral hemorrhage in basal ganglia

作　　者：王喜章 程振国[2] 宋东锟 WANG Xizhang;CHENG Zhenguo;SONG Dongkun(Surgery Department,Fengqiu Hospital of Traditional Chinese Medicine,Xinxiang 453300;No.2 Neurosurgery Department,Xinxiang Central Hospital,Xinxiang 453000,China)

机构地区：[1]河南省新乡市封丘县中医院外科,河南新乡453300 [2]河南省新乡市中心医院神经外二科,河南新乡453000

出　　处：《临床医学研究与实践》2022年第6期98-100,共3页Clinical Research and Practice

摘　　要：目的分析小骨窗显微手术治疗基底节区高血压脑出血的效果及安全性。方法回顾性选取2018年1月至2021年1月本院收治的66例基底节区高血压脑出血患者为研究对象,依据手术方法将其分为小骨窗显微手术组和大骨瓣开颅手术组,每组33例。比较两组的治疗效果。结果小骨窗显微手术组的术中血肿清除率高于大骨瓣开颅手术组,术中出血量少于大骨瓣开颅手术组,术后意识恢复时间、住院时间短于大骨瓣开颅手术组(P<0.05)。治疗后,两组患者的颅内压、NIHSS评分均低于治疗前,ADL、GCS、GOS评分均高于治疗前,且小骨窗显微手术组优于大骨瓣开颅手术组(P<0.05)。小骨窗显微手术组的治疗总有效率为96.97%,高于大骨瓣开颅手术组的75.76%(P<0.05)。小骨窗显微手术组的术后并发症总发生率为3.03%,低于大骨瓣开颅手术组的18.18%(P<0.05)。结论相较于大骨瓣开颅手术,小骨窗显微手术治疗基底节区高血压脑出血效果显著,且安全性更高,值得推广。Objective To analyze the effect and safety of small bone window microsurgery in the treatment of hypertensive intracerebral hemorrhage in basal ganglia.Methods Sixty-six patients with hypertensive intracerebral hemorrhage in basal ganglia treated in our hospital from January 2018 to January 2021 were retrospectively selected as the research objects.According to the surgical methods,the patients were divided into small bone window microsurgery group and large bone flap craniotomy group,with 33 cases in each group.The therapeutic effects of the two groups were compared.Results The intraoperative hematoma clearance rate of the small bone window microsurgery group was higher than that of the large bone flap craniotomy group,the amount of intraoperative blood loss was less than that of the large bone flap craniotomy group,and the postoperative consciousness recovery time and hospital stay were shorter than those of the large bone flap craniotomy group(P <0.05).After treatment,intracranial pressure and NIHSS score in the two groups were lower than those before treatment,ADL,GCS and GOS scores were higher than those before treatment,and those in the small bone window microsurgery group were better than the large bone flap craniotomy group(P<0.05).The total effective rate of treatment in the small bone window microsurgery group was 96.97%,which was higher than 75.76%in the large bone flap craniotomy group(P <0.05).The total incidence of postoperative complications in the small bone window microsurgery group was 3.03%,which was lower than 18.18% in the large bone flap craniotomy group(P<0.05).Conclusion Compared with large bone flap craniotomy,small bone window microsurgery in the treatment of hypertensive intracerebral hemorrhage in basal ganglia has a significant effect and higher safety,which is worthy of promotion.

关 键 词：基底节区 高血压脑出血 大骨瓣开颅手术 小骨窗显微手术 

分 类 号：R743[医药卫生—神经病学与精神病学]