经外侧裂入路血肿清除术治疗基底节区脑出血的临床疗效与短期预后研究  

Clinical Efficacy and Short-Term Prognosis of Hematoma Evacuation Surgery via the Lateral Fissure Approach for Basal Ganglia Hemorrhage

作　　者：魏震 WEI Zhen(Department of Neurosurgery,Anyang People's Hospital,Anyang Henan 455000,China)

机构地区：[1]安阳市人民医院神经外科,河南安阳455000

出　　处：《临床研究》2025年第3期17-20,共4页Clinical Research

摘　　要：目的分析经外侧裂入路的血肿清除术对基底节区脑出血(BGH)的治疗效果以及对患者短期预后的影响。方法纳入安阳市人民医院2022年3月至2024年2月期间收治的70例BGH患者,通过系统抽样法分为对照组(经颞叶皮层入路血肿清除术)和研究组(经外侧裂入路血肿清除术)。统计对比手术过程中患者总出血量、手术耗时、患者的住院时长,统计对比患者血肿清除情况;评估患者不同时间点的昏迷程度、生活自理能力变化和术后预后情况差异;统计对比两组患者术后以及随访期间并发症发生情况。结果两组患者的手术耗时比较,差异无统计意义(P>0.05)。研究组患者的总出血量稍高于对照组,住院时长明显短于对照组,并且血肿清除率明显高于对照组,差异均有统计学意义(P<0.05)。术前,两组患者格拉斯哥昏迷量表(GCS)评分比较,差异无统计学意义(P>0.05),术后5 d,两组患者GCS量表评分均较术前提升,且研究组高于对照组,差异有统计学意义(P<0.05)。术前,两组患者Barthel指数(BI)和格拉斯哥预后评分(GOS)比较,差异无统计学意义(P>0.05),术后6个月,两组患者BI和GOS评分均较术前提升,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异具有统计意义(P<0.05)。结论采用经外侧裂入路方式来清除基底节区脑出血患者的脑血肿具有较高的临床应用优势,该术式不仅能够提高血肿清除率、缩短住院时长,还能有效改善患者的意识状态和生活质量,并显著降低术后并发症发生率。Objective To analyze the treatment effects of hematoma evacuation surgery via the lateral fissure approach for basal ganglia hemorrhage(BGH)and its impact on short-term prognosis.Methods A total of 70 patients with BGH who were admitted to Anyang People's Hospital from March 2022 to February 2024 were included in the study.They were systematically sampled and divided into a control group(temporal cortical approach for hematoma evacuation)and a study group(lateral fissure approach for hematoma evacuation).The total blood loss during surgery,duration of the operation,length of hospital stay,and extent of hematoma clearance were compared between the two groups.Changes in the level of consciousness,activities of daily living,and postoperative prognosis at different time points were also evaluated,alongside the incidence of complications during the postoperative period and follow-up.Results There was no statistically significant difference in operation duration between the two groups(P>0.05).The total blood loss in the study group was slightly higher than that in the control group,but the length of stay was significantly shorter and the hematoma clearance rate was significantly higher in the study group,with statistically significant differences(P<0.05).Preoperatively,there was no significant difference in Glasgow Coma Scale(GCS)scores between the two groups(P>0.05).However,at 5 days post-surgery,both groups showed an improvement in GCS scores compared to preoperative levels,and the study group had significantly higher scores than the control group(P<0.05).Preoperative Barthel Index(BI)and Glasgow Outcome Scale(GOS)scores showed no significant difference between groups(P>0.05).After 6 months,both groups had improved BI and GOS scores compared to preoperative levels,with the study group showing significantly higher scores than the control group(P<0.05).The incidence of complications in the study group was lower than in the control group,with statistical significance(P<0.05).Conclusion The lateral fissure approach for e

关 键 词：基底节区脑出血 经外侧裂入路血肿清除术 临床疗效 预后转归 

分 类 号：R741[医药卫生—神经病学与精神病学]