摘要
目的:分析侧裂入路手术治疗基底节区高血压自发性脑出血的近期疗效及并发症情况。方法:抽取2013年6月~2016年1月行侧裂入路手术的54例基底节区高血压自发性脑出血(治疗组)与同期行颞叶皮质入路手术的50例患者(对照组),比较两组围术期相关指标、血肿清除率、术后并发症及术后6个月预后情况。结果:平均手术时间、术中出血量、术后意识恢复时间方面,治疗组均明显少于对照组(P<0.05);治疗组血肿清除>90%比率、并发症发生率、术后6个月预后良好率分别为70.37%、7.40%、70.37%,与对照组的50.00%、30.00%、42.00%相比较,差异均有统计学意义(P<0.05)。结论:相比颞叶皮质入路手术,侧裂入路显微手术治疗基底节区高血压自发性脑出血具有创伤小、近期预后等良好特点。
Objective：To analyze the short-term curative effect and complication of spontaneous intracerebral hemorrhage in basal ganglia with lateral fissure approach.Methods：54 patients with spontaneous intracerebral hemorrhage in basal ganglia hypertensive（treatment group）and 50 patients undergone temporal lobe cortical approach from June 2013 to January 2016 were enrolled in this study.Then compare perioperative related indicators,hematoma clearance rate,postoperative complications and postoperative 6 months prognosis of the two groups.Results：The mean operative time,intraoperative blood loss and postoperative consciousness recovery time were significantly lower in the treatment group than in the control group（P〈0.05）.The rate of hematoma removal〉 90%,complication rate,the percentage of good prognosis was 70.37%,7.40% and 70.37%,respectively of the observation group,which were significantly higher than those of the control group（50.00%,30.00% and 42.00%）（P〈0.05）.Conclusion：Compared with temporal lobe cortical approach,lateral laceration approach microsurgical treatment of basal ganglia hypertension spontaneous intracerebral hemorrhage with trauma,short-term prognosis and other good features.
出处
《数理医药学杂志》
2017年第7期957-959,共3页
Journal of Mathematical Medicine
关键词
基底节区高血压自发性脑出血
侧裂入路手术
颞叶皮质入路手术
basal ganglia hypertensive spontaneous intracerebral hemorrhage
lateral laceration approach
temporal lobe cortical approach
