神经导航引导下硬通道多靶点穿刺引流治疗高血压性基底节区脑出血的价值  

Value of neuronavigation-guided hard channel multi-target puncture and drainage for hypertensive basal ganglia cerebral hemorrhage

作　　者：孙彦龙 SUN Yanlong(Department of Neurosurgery,Xixia County People's Hospital,Xixia Henan 474500,China)

机构地区：[1]西峡县人民医院神经外科,河南西峡474500

出　　处：《临床研究》2022年第9期15-18,共4页Clinical Research

摘　　要：目的对神经导航引导下硬通道多靶点穿刺引流治疗高血压性基底节区脑出血(GIH)的临床效果进行探讨分析。方法回顾性分析2017年1月至2020年1月在西峡县人民医院收治的80例高血压性GIH患者,按照手术治疗方式的不同将80例患者分为观察组(N=48)和对照组(N=32),观察组采用神经导航引导下硬通道多靶点穿刺引流术治疗,对照组采用开颅血肿清除术治疗。记录观察组及对照组术中出血量、手术时间、住院时间、血肿清除情况及术后意识恢复时间。观察两组患者意识术后3 d意识恢复情况,术后6月神经状态及生活能力恢复情况,记录两组患者术后6个月患者出现感染、应激性溃疡、术后再出血、脑积水等并发症情况。结果观察组术中出血量少于对照组,差异有统计学意义(P<0.05);观察组手术时间、住院时间、术后意识恢复时间均短于对照组,血肿清除率高于对照组,差异有统计学意义(P<0.05);术后6个月,观察组GCS、FOUR、MMSE、ADL分值与对照组比较,差异无统计学意义(P>0.05),BI分值高于对照组,差异有统计学意义(P<0.05);术后6个月,观察组患者感染、应激性溃疡、术后再出血、脑积水等并发症的发生率(4.17%)明显低于对照组(18.75%),两组比较差异具有统计学意义(P<0.05)。结论神经导航引导下硬通道多靶点穿刺引流术治疗高血压性GIH可减少术中出血量、缩短手术时间及住院时间,提高血肿清除率,降低术后并发症发生率。Objective To investigate the clinical effect of neuronavigation guided hard channel multi-target puncture and drainage in the treatment of hypertensive basal ganglia cerebral hemorrhage(GIH).Methods A retrospective analysis was performed on 80 patients with hypertensive GIH admitted to Xixia County People’s Hospital from January 2017 to January 2020.According to the different surgical treatment methods,patients were divided into the observation group(N=48)and the control group(N=32).The control group was treated with craniotomy hematoma removal.The intraoperative blood loss,operation time,hospital stay,hematoma clearance and postoperative consciousness recovery time were recorded in the observation group and the control group.The recovery of consciousness 3 days after operation,neurological status and living ability recovery 6 months after operation were observed in the two groups.Complications such as infection,stress ulcer,postoperative rebleeding and hydrocephalus were recorded 6 months after operation in the two groups.Results The intraoperative bleeding in the observation group was less than that in the control group,and the difference was statistically significant(P<0.05);the operation time,hospitalization time and postoperative consciousness recovery time in the observation group were shorter than those in the control group,and the hematoma clearance rate was higher than that in the control group,and the difference was statistically significant(P<0.05);six months after the operation,the GCS,FOUR,MMSE and ADL scores in the observation group were not statistically significant compared with those in the control group The difference was statistically significant(P<0.05);six months after surgery,the incidence of complications such as infection,stress ulcer,postoperative rebleeding and hydrocephalus in patients in the observation group(4.17%)was significantly lower than that in the control group(18.75%),and the difference was statistically significant(P<0.05)between the two groups.Conclusion Neuronavigation gu

关 键 词：高血压性脑出血 基底节区 神经导航 多靶点穿刺引流 

分 类 号：R743.34[医药卫生—神经病学与精神病学]