立体定向穿刺引流术治疗基底节区自发性脑出血的疗效分析  

Efficacy analysis on stereotactic puncture drainage for spontaneous cerebral hemorrhage in the basal ganglia region

作　　者：邓鹏程 张永明 姜国伟 张圣帮 徐旭东 黄振山 丁俊 DENG Pengcheng;ZHANG Yongming;JIANG Guowei;ZHANG Shengbang;XU Xudong;HUANG Zhenshan;DING Jun(Department of Neurosurgery,the Second People s Hospital of Anhui Province,Hefei 230041,China)

机构地区：[1]安徽省第二人民医院神经外科,合肥230041

出　　处：《临床神经外科杂志》2024年第4期438-441,447,共5页Journal of Clinical Neurosurgery

基　　金：安徽省教育厅2020年度高校科学研究立项项目(KJ2020A0851)。

摘　　要：目的 探究机器人立体定向穿刺血肿引流术治疗基底节区自发性脑出血的疗效。方法 选取安徽省第二人民医院2019年1月—2023年10月共71例基底节区自发性脑出血的患者,依据随机数表法分为两组。对照组36例行开颅手术,实验组35例,在机器人辅助下行立体定向穿刺术。对比分析两组患者的治疗效果。结果 实验组术后神经功能较对照组均显著提升(P<0.05);术后1周实验组血肿较对照组显著缩小;术后两组总有效率均在90.00%以上(P>0.05);实验组术后发生并发症的比例明显低于对照组(P<0.05);与对照组相比,实验组术后3、6个月格拉斯哥预后评分(GOS)显著升高,改良Rankin量表评分(mRS)显著下降(P<0.05)。结论 机器人立体定向穿刺血肿引流术能显著提升基底节区自发性脑出血术后患者的神经功能、缩小血肿,同时显著改善并发症与远期预后。Objective To investigate the efficacy of robotic stereotactic puncture hematoma drainage in the treatment of spontaneous cerebral hemorrhage in the basal ganglia region.Methods A total of 71 patients with spontaneous cerebral hemorrhage in the basal ganglia region were selected from the Second People's Hospital of Anhui Province from January 2019 to October 2023,and were divided into two groups based on the randomized number table method,the control group(36 cases,craniotomy) and the experimental group(35 cases,robotic stereotactic puncture hematoma drainage).The therapeutic effects of the two groups were compared and analyzed.Results Postoperative neurological function was substantially enhanced in the experimental group compared to the control group in all cases(P<0.05).The hematoma of the experimental group was significantly reduced compared with the control group at 1 week postoperatively.Postoperatively,the total effective rate of both groups was above 90.00%(P>0.05).The proportion of postoperative complications in the experimental group was significantly lower than that in the control group(P<0.05).Compared with the control group,the Glasgow outcome scale(GOS) was obviously higher and the modified Rankin scale(mRS) was appreciably lower in the experimental group at 3 and 6 months after surgery(P<0.05).Conclusions Robotic stereotactic puncture hematoma drainage effectively enhances neurological function and reduces hematoma size in postoperative patients with spontaneous cerebral hemorrhage in the basal ganglia region,while considerably improving complications and long-term prognosis.

关 键 词：基底节区自发性脑出血 机器人立体定向穿刺血肿引流术 神经功能 疗效 

分 类 号：R651[医药卫生—外科学] R743.34[医药卫生—临床医学]