摘要
目的:探讨内镜辅助下翼点锁孔经侧裂脑血肿清除术治疗基底节区脑出血的效果与安全性。方法:选取2019年1月-2020年12月甘肃医学院附属医院收治的84例基底节区脑出血患者作为研究对象。根据数字随机分组法将其分为试验组(44例)和对照组(40例)。对照组给予开颅血肿清除术治疗,试验组给予内镜辅助下翼点锁孔经侧裂脑血肿清除术。比较两组围手术期指标、临床疗效、并发症、术后6个月预后情况、生活质量。结果:试验组手术时间、住院时间均短于对照组,术中失血量少于对照组(P<0.05)。试验组总有效率为90.91%,对照组总有效率为87.50%,两组总有效率比较差异无统计学意义(P>0.05)。试验组术后并发症发生率低于对照组(χ^(2)=3.996,P=0.046)。试验组术后6个月GOS评分为(4.4±0.5)分,高于对照组的(4.0±0.7)分(t=3.034,P=0.003)。随访6个月,试验组躯体功能(physical function,PF)、健康致角色限制(role-physical,RP)、总体健康(general health,GH)、活力(vitality,VT)、社会功能(social function,SF)、心理健康(mental health,MH)评分均高于对照组(P<0.05)。结论:内镜辅助下翼点锁孔经侧裂脑血肿清除术治疗基底节区脑出血效果确切且安全性良好,值得临床借鉴。
Objective:To investigate the effect and safety of endoscopic assisted pterional keyhole dissection of cerebral hematoma through lateral fissure in the treatment of basal ganglia intracerebral hemorrhage.Method:A total of 84 patients with basal ganglia intracerebral hemorrhage admitted to Affiliated Hospital of Gansu Medical College from January 2019 to December 2020 were selected as the study objects.They were divided into test group(44 cases)and control group(40 cases)according to the numerical random grouping method.The control group was treated with craniotomy hematoma dissection,and the test group was treated with endoscopic assisted pterional keyhole dissection of cerebral hematoma through lateral fissure.The perioperative indexes,clinical efficacy,complications,prognosis condition and quality of life 6 months after operation were compared between the two groups.Result:The operation time and hospitalization time of the test group were shorter than those of the control group,and the blood loss volume during operation was less than that of the control group(P<0.05).The total effective rate was 90.91%in the test group and 87.50%in the control group,there was no significant difference in total effective rate between the two groups(P>0.05).The incidence of postoperative complications in the test group was lower than that in the control group(χ^(2)=3.996,P=0.046).The GOS score of the test group was(4.4±0.5)points 6 months after operation,which was higher than(4.0±0.7)points of the control group(t=3.034,P=0.003).Following up for 6 months,the scores of physical function(PF),role physical(RP),general health(GH),vitality(VT),social function(SF)and mental health(MH)in the test group were higher than those in the control group(P<0.05).Conclusion:The effect of endoscopic assisted pterional keyhole dissection of cerebral hematoma through lateral fissure in the treatment of basal ganglia intracerebral hemorrhage is accurate,with good safety,which is worthy of clinical reference.
作者
曹栋栋
秦剑
吴鹏举
郑茂华
CAO Dongdong;QIN Jian;WU Pengju;ZHENG Maohua(Affiliated Hospital of Gansu Medical College,Pingliang 744000,China;不详)
出处
《中外医学研究》
2022年第36期121-125,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
内镜
经侧裂脑血肿清除
脑出血
并发症
生活质量
Endoscope
Dissection of cerebral hematoma through lateral fissure
Cerebral hemorrhage
Complications
Quality of life
