经外侧裂入路术治疗高血压基底节区脑出血的效果观察  

Observation of therapeutic effect of trans-sylvian fissure approach surgery on hypertensive basal ganglia hemorrhage

作　　者：白冰[1] 杨凤东[1] 孙沛文 Bai Bing;Yang Fengdong;Sun Peiwen(Department of Neurosurgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院神经外科,郑州450052

出　　处：《中国实用医刊》2024年第1期14-17,共4页Chinese Journal of Practical Medicine

摘　　要：目的分析经外侧裂入路术治疗高血压基底节区脑出血的效果。方法回顾性抽取2022年3月至2023年2月于郑州大学第一附属医院行手术治疗的高血压基底节区脑出血患者72例,按照治疗术式分为对照组(36例)和观察组(36例)。对照组行皮层造瘘术治疗,观察组行经外侧裂入路术治疗。记录并比较两组围术期指标水平、血肿清除率、治疗效果及术后并发症发生情况。结果观察组手术时间、术中出血量、后瞳孔恢复时间、住院时间少于对照组(t=3.51、7.09、3.19、2.48,P均<0.05),血肿清除率、总有效率高于对照组(χ^(2)=2.69、6.18,P均<0.05)。观察组术后并发症总发生率低于对照组(χ^(2)=4.18,P=0.041)。结论经外侧裂入路术治疗高血压基底节区脑出血的效果良好,血肿清除率高,术中出血量和术后并发症少,且安全性较高。Objective To analyze the effect of trans-sylvian fissure approach surgery in the treatment of hypertensive basal ganglia hemorrhage.Methods A total of 72 patients with hypertensive basal ganglia hemorrhage who underwent surgery in the First Affiliated Hospital of Zhengzhou University from March 2022 to February 2023 were retrospectively selected,and they were divided into control group(36 cases)and observation group(36 cases)according to the treatment method.The control group was treated by cortical fistulization,and the observation group was treated by trans-sylvian fissure approach surgery.The levels of perioperative indicators,hematoma clearance rate,therapeutic effect,and postoperative complications of the two groups were recorded and compared.Results The operation time,intraoperative blood loss,posterior pupillary recovery time and hospital stay in the observation group were less than those in the control group(t=3.51,7.09,3.19,2.48;all P<0.05).The hematoma clearance rate and total effective rate in the observation group were higher than those in the control group(χ^(2)=2.69,6.18;all P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group(χ^(2)=4.18,P=0.041).Conclusions The trans-sylvian fissure approach surgery has a good effect in the treatment of hypertensive basal ganglia hemorrhage,which has a high hematoma clearance rate,less intraoperative blood loss and less postoperative complications,with high safety.

关 键 词：基底节区脑出血 经外侧裂入路术 皮层造瘘术 高血压 

分 类 号：R651.1[医药卫生—外科学]