摘要
目的:观察经额穿刺微创颅内血肿清除术治疗自发性基底核脑出血的临床疗效。方法:回顾性分析山东国欣颐养集团滕南医院(原枣庄矿业集团滕南医院)神经外科2019年10月—2021年9月收治的56例自发性基底核脑出血行经额穿刺微创颅内血肿清除术治疗患者的临床资料。统计其术后3、6个月生存率、优良率、总有效率。结果:56例患者中,单纯性基底核脑出血46例,占82.0%;基底核脑出血合并破入脑室10例,占18.0%。额部穿刺微创治疗术后6个月,56例全部生存,生存率100.0%,优良率85.7%,总有效率100.0%。结论:自发性基底核脑出血患者采用经额穿刺微创颅内血肿清除术治疗,创伤轻微,能够加快患者神经功能恢复,临床治疗效果好,值得临床应用。
Objective To study the clinical effect of minimally invasive frontal puncture in the treatment of basal ganglia hemorrhage.Methods The clinical data of 56 patients with spontaneous basal ganglia intracerebral hemorrhage admitted to the Department of Neurosurgery of our hospital from October 2019 to September 2021 were retrospectively analyzed.Results There were 46 cases(82%)with simple basal ganglia intracerebral hemorrhage.10 cases(18%)had basal ganglia intracerebral hemorrhage complicated with ventricle invasion.All 56 patients received minimally invasive treatment through frontal puncture.After half a year,all 56 patients survived,with a survival rate of 100%.48 patients had good neurological function recovery,could communicate normally,and lived independently,with an excellent and good rate of 85.7%.The total effective rate is 100%.Conclusion The minimally invasive treatment of frontal puncture hematoma removal for patients with basal ganglia hemorrhage can make patients’neurological function recover quickly and muscle strength improve significantly with good effect,which is worthy of clinical promotion.
作者
赵恒奎
程兴滕
尹亚东
乔元奇
任泽壮
ZHAO Hengkui;CHENG Xingteng;YIN Yadong;QIAO Yuanqi;REN Zezhuang(Department of Surgery,Shandong Guoxin Yiyang Group,Tengnan Hospital<Former Zaozhuang Mining Group TengnanHospital>,Zaozhuang,Shandong 277606,China)
出处
《医药前沿》
2022年第22期31-33,共3页
Journal of Frontiers of Medicine
关键词
自发性基底核脑出血
经额穿刺
微创
颅内血肿清除术
Spontaneous basal nucleus hemorrhage
Transfrontal puncture
Minimally invasive
Intracranial hematoma evacuation
