无框架三维立体定向软通道穿刺技术在高血压脑出血中的应用分析  

Application of Frameless 3D Stereotactic Soft Channel Puncture Technique in Hypertensive Cerebral Hemorrhage

作　　者：邓忠仁 DENG Zhongren(Department of Neurosurgery,Huai'an Hongze District People's Hospital,Huai'an,Jiangsu Province,223100 China)

机构地区：[1]淮安市洪泽区人民医院神经外科,江苏淮安223100

出　　处：《中外医疗》2024年第8期47-50,共4页China & Foreign Medical Treatment

摘　　要：目的探讨无框架三维立体定向软通道穿刺技术在高血压脑出血中的应用效果。方法回顾性选取淮安市洪泽区人民医院于2021年12月—2023年5月收治的50例高血压脑出血患者的临床资料,按照不同治疗方法分为对照组(25例)与干预组(25例)。对照组行小骨窗血肿清除术,干预组采用无框架三维立体定向软通道穿刺技术。对比两组手术治疗指标、术后并发症情况,评估神经功能和活动能力。结果相较于对照组,干预组手术用时和住院天数短、术中出血量少,72 h血肿清除率低,差异有统计学意义(P均<0.05)。干预组术后并发症的发生率为4.00%,低于对照组的24.00%,差异有统计学意义(χ^(2)=4.152,P<0.05)。和术前相比,两组患者出院时的美国国立卫生研究院卒中量表评分降低、日常生活活动量表评分增高,其中干预组患者的评分优于对照组,差异有统计学意义(P均<0.05)。结论高血压脑出血患者手术治疗中,采用无框架三维立体定向软通道穿刺技术具有良好效果,不仅并发症少、恢复快,而且能显著改善神经功能和活动能力。Objective To investigate the application effect of frameless 3D stereotactic soft channel puncture technique in hypertensive cerebral hemorrhage.Methods The clinical data of 50 patients of hypertensive cerebral hemorrhage patients admitted to Huai'an Hongze District People's Hospital from December 2021 to May 2023 were retrospectively selected.They were divided into control group(25 cases)and intervention group(25 cases)according to different treatment methods.The control group was treated with small bone window hematoma,and the intervention group was treated with frameless 3D stereotactic soft channel puncture.The operative treatment indexes and postoperative complications were compared between the two groups,and the neurological function and mobility were evaluated.Results Compared with the control group,the intervention group had shorter operation time and hospitalization days,less intraoperative bleeding,and lower 72 h hematoma clearance rate,and the differences were statistically significant(all P<0.05).The incidence of postoperative complications in the intervention group was 4.00%,which was lower than 24.00%in the control group,and the difference was statistically significant(χ^(2)=4.152,P<0.05).Compared with the preoperative period,the National Institutes of Health Stroke Scale scores were reduced and the Activities of Daily Living Scale scores were increased in both groups at the time of discharge,with patients in the intervention group had better scores than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion In the surgical treatment of hypertensive cerebral hemorrhage patients,the frameless 3D stereotactic soft channel puncture technique has a good effect,which not only has fewer complications and faster recovery,but also can significantly improve nerve function and mobility,which is worth promoting.

关 键 词：高血压脑出血 三维立体定向 软通道穿刺 并发症 

分 类 号：R544.1[医药卫生—心血管疾病]