小骨瓣开窗微创血肿清除手术治疗自发性脑出血的临床研究  

Clinical Study of Small Bone Flap Fenestration and Minimally Invasive Hematoma Evacuation in Spontaneous Intracerebral Hemorrhage

作　　者：程伟[1] 仲瑶[1] 邹连生[1] CHENG Wei;ZHONG Yao;ZOU Liansheng(The First Affiliated Hospital of Gannan Medical College,Ganzhou 341000,China;不详)

机构地区：[1]赣南医学院第一附属医院,江西赣州341000

出　　处：《中国医学创新》2022年第28期60-63,共4页Medical Innovation of China

摘　　要：目的:探讨小骨瓣开窗微创血肿清除手术治疗自发性脑出血(SIH)的临床效果。方法:选择赣南医学院第一附属医院神经外科2019年2月-2022年1月收治的SIH患者60例,采用随机数字表法将其分为A组与B组(每组30例),A组采用直视下开颅血肿清除术,B组采用小骨瓣开窗微创血肿清除术,比较两组手术指标,治疗前后神经功能[美国国立卫生院卒中量表(NIHSS)]、认知功能[简易精神状态评价量表(MMSE)]、临床治疗效果,收集两组手术相关并发症发生情况。结果:B组手术时间短于A组,术中输血量少于A组,血肿消失时间早于A组,住院时间短于A组,差异均有统计学意义(P<0.05);治疗前两组NIHSS、MMSE评分比较,差异均无统计学意义(P>0.05),治疗后B组NIHSS评分低于A组,MMSE评分高于A组,差异均有统计学意义(P<0.05);B组总有效率高于A组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:小骨瓣开窗微创血肿清除手术治疗SIH具有手术时间短、术中输血量少、血肿消失时间早、住院时间短等优势,对患者术后神经功能、认知功能的影响小,安全性高。Objective:To investigated the clinical effect of small bone flap fenestration and minimally invasive hematoma evacuation in the treatment of spontaneous intracerebral hemorrhage(SIH).Method:A total of 60 patients with SIH who were admitted to the Department of Neurosurgery of the First Affiliated Hospital of Gannan Medical College from February 2019 to January 2022 were selected and randomly divided into group A and group B(30 cases in each group)according to the random number table method,group A was treated with craniotomy hematoma evacuation under direct vision,and the group B was treated with small bone flap fenestration and minimally invasive hematoma evacuation.The surgical indicators,neurological function[National Institutes of Health Stroke scale(NIHSS)]before and after treatment,cognitive function[mini-mental state examination(MMSE)],clinical treatment effect were compared between the two groups,and the incidence of surgery-related complications in the two groups were collected.Result:The operation time of the group B was shorter than that of group A,the intraoperative blood transfusion volume was less than that of group A,the disappearance time of hematoma was eralier than that of group A,and the hospitalization time was shorter than that of group A,the differences were all statistically significant(P<0.05).There were no statistical significance in NIHSS scores and MMSE scores before treatment in two groups(P>0.05).After treatment,the NIHSS score of the group B was lower than that of group A,the MMSE score of the group B was higher than that of group A,the differences were statistically significant(P<0.05).The total effective rate of the group B was higher than that of group A,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions in two groups(P>0.05).Conclusion:The small bone flap fenestration and minimally invasive hematoma evacuation in the treatment of spontaneous intracerebral hemorrhage has the advantages of shorting operatio

关 键 词：自发性脑出血 开颅血肿清除术 小骨瓣开窗微创血肿清除术 神经功能 认知功能 

分 类 号：R651.1[医药卫生—外科学]