摘要
目的应用微创手术方法治疗高血压基底节区脑出血,比较经额入路与经颞入路的疗效,并对造成差异的原因分析。方法选择符合出血性脑卒中规范化治疗入选标准的基底节脑出血患者186例,其中经额入路微创手术105例,经颞入路微创手术81例,观察术后拔管时间及平均住院日。结果经额入路手术组拔管时间及平均住院日均少于经颞入路手术组。结论基于基底节区脑出血的生理特点,经额入路能更迅速的清除血肿,使患者较早恢复。
Objective To compare the curative effect of mini - invasive operation through transfrontalis approach and transtem- poral approach on patients with hypertensive basal ganglia hematomas, and analyze influencing factors related to the differences. Meth- ods 186 cases with basal ganglia hematomas in accordance with the enrollment criterion of standardized treatment of hemorrhagic stroke were analyzed. 105 cases were treated with mini -invasive operation of transfrontalis approach and 81 cases were treated with mini -in- vasive operation of transtemporal approach. The evaluation indexes included postoperative extubation time and average length of stay. Results Postoperative extubation time and average length of stay were decreased in patients by mini - invasive operation of transfrontalis approach compared with mini - invasive operation of transtemporal approach. Conclusion Mini - invasive operation of transfrontalis ap- proach makes the abnormal consciousness recover earlier, removes hematoma.
出处
《宁夏医学杂志》
CAS
2012年第6期498-499,共2页
Ningxia Medical Journal
关键词
脑出血
微创手术
疗效
影响因素
Basal ganglia hematomas
Mini - invasive operation
Curative effect
Influencing factors
