摘要
目的探讨超早期微创穿刺引流术治疗基底节区脑出血的手术方式及优越性。方法将济宁医学院附属医院兖州院区神经外科2011年10月至2016年10月接诊的基底节区脑出血患者160例作为研究对象,入选对象临床资料完整,自愿接受本研究且签署知情同意书,以随机数表法分组,各自80例。2组患者均接受超早期微创穿刺引流术治疗,其中硬通道组采取硬通道穿刺入路,软通道组采取软通道穿刺入路。对2组患者临床效果、不良反应,以及治疗前后神经功能缺损评分、日常生活能力评分进行观察记录,并采取统计学分析。结果 2组患者在临床总有效率、不良反应发生率上比较差异无统计学意义(P>0.05);2组治疗后神经功能缺损评分与日常生活能力评分与治疗前差异明显(P<0.05),但组间比较差异无统计学意义(P>0.05)。结论超早期微创穿刺引流术治疗基底节区脑出血患者,不论是软通道入路还是硬通道入路,均可取得比较良好的效果,疗效明显,安全性高,可明显改善神经功能缺损症状与日常生活能力,值得借鉴。
Objective To investigate the operation and superiority of ultra-early minimally invasive puncture and drainage in the treatment of cerebral hemorrhage in basal ganglia. Methods One hundred and sixty patients with basal ganglia hemorrhage were enrolled in our hospital during from October 2011 to October 2016. The clinical data were complete and the patients were informed and informed consent. The patients were divided into eight groups by random number table. Two groups of patients were treated with ultra-early minimally invasive puncture and drainage, in which the hard channel group to take a hard channel puncture approach, soft channel group to take a soft channel puncture approach. The clinical outcomes, adverse reactions, neurological deficit scores, and daily living ability scores were observed and recorded in both groups. Statistical analysis was performed. Results There was no significant difference in the total effective rate and the incidence of adverse reactions between the two groups（P〈0.05）. There was significant difference between the two groups in the neurological deficit score and the daily life ability score（P〉0.05）, But there was no significant difference between the two groups（P〈0.05）. Conclusion Ultra-early minimally invasive puncture and drainage can be used to treat patients with cerebral hemorrhage in basal ganglia, whether it is soft channel approach or hard channel approach, which can achieve better results, obvious curative effect, high safety and can improve neurological deficit Symptoms and daily living ability, it is worth learning.
出处
《中华神经创伤外科电子杂志》
2017年第4期214-217,共4页
Chinese Journal Of Neurotraumatic Surgery：Electronic Edition
关键词
超早期
微创穿刺引流术
硬通道
软通道
基底节区脑出血
Ultra-early
Minimally invasive puncture and drainage
Hard channel
Softchannel
Basal ganglia cerebral hemorrhage
