摘要
目的探讨软通道辅助下微骨窗开颅血肿清除术对基底节区脑出血（BGCH）合并脑疝患者手术时长及术后颅骨缺损面积的影响。方法选取2015年2月至2017年3月本院94例BGCH合并脑疝患者，根据不同术式分为观察组与对照组，各47例。对照组行大骨瓣开颅血肿清除术，观察组行软通道辅助下微骨窗开颅血肿清除术。对比两组手术及术后恢复情况（手术用时、出血量、颅骨缺损面积、住院时间）、并发症发生率。结果与对照组比较，观察组手术用时短、出血量少、颅骨缺损面积小、住院时间短，差异均有统计学意义（均P〈0．05）；观察组术后并发症发生率[2．13％（1，47）比17．02％（8，47）]低于对照组，差异有统计学意义（P〈0．05）。结论软通道辅助下微骨窗开颅血肿清除术治疗BGCH合并脑疝，手术用时短，术中出血少，且术后颅骨缺损面积小、并发症发生率低，有利于术后早期恢复，缩短患者住院时间。
Objective To investigate the effect of soft-channel-assisted micro-bone window craniotomy on the length of operation and skull defect area in patients with basal ganglia intracerebral hemorrhage （BGCH） and cerebral hernia. Methods 94 cases of BGCH complicating by cerebral hernia in our hospital from February 2015 to March 2017 were divided into the observation group and the control group according to different surgical methods, 47 cases in each group. The control group was treated with large craniotomy for hematoma elimination, while the observation group was treated with soft-channel-assisted micro-bone window craniotomy. The operation and postoperative recovery （operative time, bleeding volume, skull defect area, length of hospital stay）, and the incidence of complications of the two groups were compared. Results Compared with the control group, the observation group had shorter operation time, less bleeding volume, smaller skull defect area, and shorter hospital stay （P〈0.05）. The incidence of postoperative complications in the observation group [2.13% （1/47）] was lower than that in the control group [17.02% （8/47）] （P〈0.05）. Conclusion Soft-channel-assisted micro-bone window craniotomy in the treatment of BGCH complicating by cerebral hernia has shorter operation time, less intraoperative bleeding, and smaller postoperative cranial defect area, and lower complication rate. It is helpful to promote early recovery after surgery, and shorten the hospitalization time.
出处
《国际医药卫生导报》
2018年第3期352-354,共3页
International Medicine and Health Guidance News
关键词
基底节区脑出血
脑疝
微骨窗开颅血肿清除术
软通道辅助
颅骨缺损面积
Basal ganglia intracerebral hemorrhage
Cerebral hernia
Micro-bone window craniotomy
Soft-channel-assisted
Skull defect area
