神经导航无框架立体定向下穿刺引流术治疗少量深部脑内血肿疗效分析  

Efficacy analysis of neuronavigation frameless stereotactic puncture and drainage in the treatment of a small amount of deep intracerebral hematoma

作　　者：金俊庆 牛光明[2] 陶胜忠[2] 刘展[2] 娄金峰[2] 王在斌 秦庚 JIN Junqing;NIU Guangming;TAO Shengzhong;LIU Zhan;LOU Jinfeng;WANG Zaibin;QIN Geng(Graduate School,Zhengzhou University,Zhengzhou 450001,China;不详)

机构地区：[1]郑州大学研究生学院,郑州450001 [2]郑州大学第二附属医院神经外科,郑州450014

出　　处：《实用医学杂志》2022年第23期2991-2995,共5页The Journal of Practical Medicine

基　　金：河南省医学教育研究项目(编号:Wjlx2020086);郑州大学研究生教育研究项目(编号:YJSJY202155)。

摘　　要：目的探讨神经导航无框架立体定向下穿刺引流术治疗少量深部脑内血肿的疗效和并发症。方法回顾性分析郑州大学第二附属医院神经外科2019年1月至2021年12月收治的54例(15~30 mL)深部脑出血患者,采用神经导航无框架立体定向下穿刺引流术治疗的28例患者为研究组;采用保守治疗的26例患者为对照组。以治疗1周后GCS评分、1个月后mRS评分及3月后ADL评分为疗效及预后评价指标,并比较分析两组治疗后的并发症情况。结果研究组在1周后血肿清除率、1周后GCS评分、1个月后mRS评分、3月后ADL分级方面均优于保守治疗组,差异有统计学意义(P<0.05)。对照组患者肺部感染、下肢静脉血栓发生率高于研究组(P<0.05),研究组再出血率、脑积水发生率与对照组相似(P>0.05)。结论对于存在神经功能障碍的少量深部脑出血患者,可应用神经导航无框架立体定向引流术治疗,促进早期神经功能恢复,减少并发症。Objective The study aimed to investigate the efficacy and complications of neuronavigation frameless stereotactic puncture and drainage in the treatment of a small amount of deep intracerebral hematoma.Methods A retrospective analysis was performed on 54 patients(15~30 m L)with deep cerebral hemorrhage treated in the Department of Neurosurgery of the second affiliated Hospital of Zhengzhou University from January2019 to December 2021.28 patients treated with neuronavigation frameless stereotactic puncture and drainage were taken as the study group and 26 patients with conservative treatment were taken as the control group.GCS score 1week after treatment,mRS score 1 month later and ADL score 3 months later were applied to evaluate the efficacy and prognosis,and the complications of the two groups were compared and analyzed.Results The hematoma clearance rate after 1 week,GCS score after 1 week,mRS score after 1 month and ADL grade after 3 months in the study group were superior to the conservative group(P<0.05).The incidence of pulmonary infection and venous thrombosis of lower extremities in the control group was higher than study group(P<0.05).The incidence of rebleeding and hydrocephalus in the study group was similar to control group(P>0.05).Conclusion For patients with a small amount of deep cerebral hemorrhage with neurological dysfunction,neuronavigation frameless stereotactic drainage can promote the early recovery of neurological function and reduce complications.

关 键 词：无框架立体定向 脑出血 神经导航 治疗效果 

分 类 号：R743.34[医药卫生—神经病学与精神病学]