摘要
目的研究CT定位钻颅抽吸引流与开颅手术在中等量基底节脑出血患者中的临床效果。方法将我院2014-07—2016-07治疗的98例中等量基底节脑出血患者随机分成观察组与对照组各49例,观察组采用CT定位下钻颅抽吸手术治疗,对照组采用开颅手术治疗,分别对2组手术指标、临床治疗效果、神经功能恢复情况及昏迷改善情况进行对比。结果观察组手术指标均明显优于对照组;观察组有效率与对照组对比差异无统计学意义(P>0.05);治疗前2组神经功能评分差异无统计学意义(P>0.05),治疗后观察组神经功能评分(Barthel指数)明显高于对照组(P<0.05);观察组昏迷改善情况明显好于对照组(P<0.05)。结论开颅手术与CT定位钻颅抽吸手术对中等量基底节脑出血患者的治疗效果值得肯定,而钻颅抽吸术因具有创伤小、血肿清除快速等优点,提高了患者的预后,可作为其首选治疗手段。
Objective To study the clinical effect of CT location aspiration by drilling cranium and craniotomy in the treat- ment of patients with cerebral hemorrhage in basal ganglia. Methods Totally 98 cases of cerebral hemorrhage in basal ganglia from July 2014 to July 2016 treated in our hospital were randomly divided into observation group and control group, 49 cases in each group. Observation group was treated by aspiration by drilling cranium, and the control group was treated by craniotomy. Clinical treatment effect and operation indexes of nervous function recovery and improvement of coma were analyzed. Results The operation indexes in observation group were significantly better than those of the control group. The efficient between observation group and control group had no significant difference （P〉0.05）. The nerve function score of two groups before treatment had no significant difference （P〉0.05） ;after treatment,the nerve function score of observation group was significantly higher than that of the control group （P〈0. 05）. The improvement of coma in observation group was better than that of the control group （P〈0. 05）. Conclusion The clinical effect of two methods in the treatment of patients with cerebral hemorrhage in basal ganglia is positive,and aspiration by drilling cranium has the advantages of small surgical trauma and hematoma removal fast, and can im- prove the prognosis of patients. Therefore,aspiration by drilling cranium can be used as the preferred treatment for cerebral hem- orrhage in basal ganglia.
出处
《中国实用神经疾病杂志》
2017年第16期41-43,共3页
Chinese Journal of Practical Nervous Diseases
关键词
中等量基底节脑出血
开颅手术
钻颅抽吸术
CT定位
Moderate cerebral hemorrhage in basal ganglia
Craniotomy
Aspiration by drilling cranium
CT positioning
