微创穿刺引流术与开颅小骨窗显微清除术治疗基底节高血压脑出血的临床效果  

Clinical Effect of Minimally Invasive Puncture and Drainage Operation and Small Bone Window Microscopic Clearance Operation in the Treatment of Hypertensive Cerebral Hemorrhage in Basal Ganglia

作　　者：张登兴 ZHANG Dengxing(Datian County General Hospital of Fujian Province,Datian 366100,China)

机构地区：[1]大田县总医院,福建大田366100

出　　处：《中外医学研究》2023年第14期37-40,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:分析微创穿刺引流术与开颅小骨窗显微清除术治疗基底节高血压脑出血(HICH)的临床效果。方法:选取2018年1月—2022年6月大田县总医院收治的78例基底节HICH患者。根据随机数表法将其均分为微创组和开颅组,各39例。微创组给予微创穿刺引流术,开颅组给予开颅小骨窗显微清除术。比较两组临床疗效,并发症及血肿清除,术前及术后神经功能、日常生活能力。结果:两组总有效率比较差异无统计学意义(P>0.05)。微创组并发症发生率低于开颅组,差异有统计学意义(P<0.05),两组血肿清除率比较差异无统计学意义(P>0.05)。术后3个月,微创组美国国立卫生研究院卒中量表(NIHSS)评分显著低于开颅组,日常生活能力量表(ADL)评分高于开颅组,差异有统计学意义(P<0.05)。结论:微创穿刺引流术、开颅小骨窗显微清除术在基底节HICH治疗中效果差异不大,微创穿刺引流术创伤相对较小,血肿清除率效果略差,术后神经功能恢复较优,开颅小骨窗显微清除术会损伤脑组织,但整体效果相似,因此临床治疗中需依照患者实际病情需要选取合理的方法。Objective:To analyze the clinical effect of minimally invasive puncture and drainage operation and small bone window microscopic clearance operation in the treatment of hypertensive cerebral hemorrhage(HICH)in basal ganglia.Method:A total of 78 patients with basal ganglia HICH admitted to Datian County General Hospital from January 2018 to June 2022 were selected.According to the random number table method,they were equally divided into minimally invasive group and craniotomy group,39 cases in each group.The minimally invasive group was treated with minimally invasive puncture and drainage operation,and the craniotomy group was given the small bone window microscopic clearance operation.The clinical efficacy,complications and hematoma clearance,preoperative and postoperative neurological function,daily living ability were compared between the two groups.Result:There was no significant difference in total effective rate between the two groups(P>0.05).The incidence of complications in the minimally invasive group was lower than that in the craniotomy group,and the difference was statistically significant(P<0.05).There was no significant difference in hematoma clearance rate between the two groups(P>0.05).Three months after operation,the National Institute of Health stroke scale(NIHSS)score of the minimally invasive group was significantly lower than that of the craniotomy group,and the daily living ability scale(ADL)score was higher than that of the craniotomy group,and the differences were statistically significant(P<0.05).Conclusion:Minimally invasive puncture and drainage operation and small bone window microscopic clearance operation have little difference in the treatment of basal ganglia HICH.Minimally invasive puncture drainage operation has relatively small trauma,slightly poor hematoma clearance effect,and better postoperative neurological function recovery.Small bone window microscopic clearance operation can damage brain tissue,but the overall effect is similar.Therefore,reasonable methods should be sele

关 键 词：基底节高血压脑出血 微创穿刺引流术 开颅小骨窗显微清除术 血肿 

分 类 号：R651.12[医药卫生—外科学]