摘要
目的比较小骨窗经外侧裂-岛叶入路与经颞叶皮质入路在基底节区脑出血患者中的实施效果。方法选取2018年1月至2020年12月86例基底节区脑出血患者,将患者随机分成观察组(n=43)和对照组(n=43)。对照组采用经颞叶皮质入路,观察组采用经外侧裂-岛叶入路,比较两组手术情况、GCS评分、改良Barthel指数(MBI)及并发症情况。结果观察组手术时间长于对照组,术中出血量少于对照组,血肿清除率高于对照组,差异有统计学意义(P <0.05);观察组术后7 d、14 d GCS评分高于对照组,观察组术后28 d、术后3个月、6个月时MBI指数评估高于对照组,差异有统计学意义(P <0.05);观察组并发症发生率为9.30%低于对照组25.58%,差异有统计学意义(P <0.05)。结论小骨窗经外侧裂-岛叶入路治疗效果优于经颞叶皮质入路,并发症更少,具有更高的临床运用价值。
Objective To compare the effect of small bone window translateral fissure insular approach and transtemporal cortical approach in patients with basal ganglia intracerebral hemorrhage. Methods 86 patients with basal ganglia intracerebral hemorrhage from January 2018 to December 2020 were randomly divided into observation group(n=43) and control group(n=43). The control group was treated by transtemporal cortical approach and the observation group by translateral fissure island approach. The operation, GCS score, modified Barthel Index(MBI) and complications were compared between the two groups. Results The operation time in the observation group was longer than that in the control group, the amount of intraoperative bleeding was less than that in the control group, and the hematoma clearance rate was higher than that in the control group(P <0.05). The GCS score of the observation group was higher than that of the control group at 7 and 14 days after operation, and the MBI index of the observation group was higher than that of the control group at 28 days, 3 and 6 months after operation(P <0.05). The incidence of complications in the observation group was 9.30%, which was lower than 25.58% in the control group(P <0.05). Conclusion The treatment effect of small bone window through lateral fissure island approach is better than that through temporal cortex approach, with fewer complications and higher clinical value.
作者
高登科
黄惠勇
杨修
GAO Dengke;HUANG Huiyong;YANG Xiu(Xiamen Hospital of Traditional Chinese Medicine,Xiamen 361015,China)
出处
《中国医药指南》
2021年第34期32-34,共3页
Guide of China Medicine
关键词
小骨窗
经外侧裂-岛叶入路
经颞叶皮质入路
基底节区脑出血
Small bone window
Translateral fissure insular approach
Transtemporal cortical approach
Basal ganglia intracerebral hemorrhage
