显微镜下经侧裂入路与经颞叶皮层入路手术对高血压基底节区脑出血患者血肿清除率及预后的影响对比  

Comparison of the Effects of Via the Lateral Fissure Approach and Via the Temporal Lobe Cortical Approach under the Microscope on Hematoma Clearance Rate and Prognosis in Patients with Hypertensive Basal Ganglia Intracerebral Hemorrhage

作　　者：徐坤 张晓东 张云一 李喆 XU Kun;ZHANG Xiaodong;ZAHNG Yunyi;LI Zhe(Department of Neurosurgery,Shandong Provincial Public Health Clinical Center,Jinan 250102,China;Department of Neurosurgery,the Second People's Hospital of Shandong Province,Jinan 250299,China)

机构地区：[1]山东省公共卫生临床中心神经外科,山东济南250102 [2]山东省第二人民医院神经外科,山东济南250299

出　　处：《反射疗法与康复医学》2024年第13期91-94,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨显微镜下经侧裂入路与经颞叶皮层入路手术对高血压基底节区脑出血患者的影响。方法选取山东省公共卫生临床中心2021年12月—2023年10月收治的112例高血压基底节区脑出血患者为研究对象,按随机数字表法将其分为对照组和观察组,各56例。对照组行经颞叶皮层入路手术,观察组行经侧裂入路手术。比较两组的围术期情况、血肿清除率、神经功能、预后评分、生活质量及并发症发生情况。结果两组手术时间比较,差异无统计学意义(P>0.05);观察组术后自动睁眼时间短于对照组,术后7 d脑水肿体积小于对照组,血肿清除率高于对照组,组间差异有统计学意义(P<0.05)。术后1个月,观察组美国国立卫生研究院卒中量表评分低于对照组,格拉斯哥预后评分评分高于对照组,组间差异有统计学意义(P<0.05)。术后3个月,观察组世界卫生组织生存质量测定量表简表各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率为3.57%,低于对照组的14.29%,差异有统计学意义(P<0.05)。结论显微镜下经侧裂入路手术治疗高血压基底节区脑出血的效果更佳,可加快血肿清除,更好地改善患者的神经功能及预后,且并发症少,有利于提高术后生活质量。Objective Exploring the effects of via the lateral fissure approach and via the temporal lobe cortical approache under the microscope on patients with hypertensive basal ganglia intracerebral hemorrhage.Methods A total of 112 patients with hypertensive basal ganglia intracerebral hemorrhage admitted to the Shandong Provincial Public Health Clinical Center from December 2021 to October 2023 were selected as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 56 cases in each group.The control group underwent surgery via the temporal lobe cortical approach,while the observation group underwent surgery via the lateral fissure approach.Compare the perioperative status,hematoma clearance rate,neurological function,prognosis score,quality of life,and complications between two groups.Results Comparison of surgical time between two groups,the difference was not statistically significant(P>0.05);the observation group had automatic eye opening time after surgery was shorter than that of the control group,the brain edema volume at 7 days after surgery was smaller than that of the control group,and the hematoma clearance rate was higher than that of the control group,the differences between groups were statistically significant(P<0.05).One month after surgery,the observation group had National Institutes of Health Stroke Scale scores was lower than the control group,and Glasgow Outcome Scale scores was higher than the control group,the differences between groups were statistically significant(P<0.05).Three months after surgery,the observation group had higher scores in all dimensions of the World Health Organization Quality of Life-Brief Version than the control group,the differences between groups were statistically significant(P<0.05).The incidence of complications in the observation group was 3.57%,which was lower than the 14.29% in the control group,the difference was statistically significant(P<0.05).Conclusion The surgical treatment of h

关 键 词：高血压 基底节区脑出血 经侧裂入路 经颞叶皮层入路 血肿清除率 

分 类 号：R544.1[医药卫生—心血管疾病]