摘要
目的探讨经侧裂入路与经颞叶皮质入路显微手术治疗老年高血压性基底节区出血的临床疗效。方法选取2018年1月至2021年1月本院收治的80例老年高血压性基底节区出血患者作为研究对象,随机分为观察组和对照组,每组40例。观察组采用经侧裂入路显微手术治疗,对照组采用经颞叶皮质入路显微手术治疗,比较两组手术指标、预后效果及并发症发生情况。结果两组术中出血量、手术时间、术后意识恢复时间比较差异无统计学意义;观察组血肿清除率、预后优良率均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为12.50%,低于对照组的35.00%,差异有统计学意义(P<0.05)。结论经侧裂入路显微手术治疗老年高血压性基底节区出血的效果更好,可提高血肿清除率,改善预后,有效降低并发症发生率,值得临床推广应用。
Objective To investigate the clinical effect of lateral fissure approach and transtemporal cortical microsurgery in the treatment of hypertensive basal ganglia hemorrhage in the elderly.Methods A total of 80 elderly patients with hypertensive basal ganglia hemorrhage admitted to our hospital from January 2018 to January 2021 were selected as the research subjects,and they were randomly divided into observation group and control group,with 40 cases in each group.The observation group was treated with lateral fissure approach microsurgery,and the control group was treated with transtemporal cortex microsurgery,and the surgical indicators,prognosis effect and complications were compared between the two groups.Results There were no significant differences in the intraoperative blood loss,operation time and postoperative consciousness recovery time between the two groups;the clearance rate and excellent prognosis rate of hematoma in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05);the total incidence of complications in the observation group was 12.50%,which was lower than 35.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion Lateral fissure approach microsurgery has better effect in the treatment of hypertensive basal ganglia hemorrhage in the elderly,which can improve the clearance rate of hematoma,improve prognosis,and effectively reduce the incidence of complications,which is worthy of clinical promotion and application.
作者
杨泗华
韩涛
房秀友
YANG Sihua;HAN Tao;FANG Xiuyou(Department of Neurosurgery,Ganyu District People's Hospital of Lianyungang City,Lianyungang,Jiangsu,222100,China)
出处
《当代医学》
2022年第28期169-172,共4页
Contemporary Medicine
关键词
经侧裂入路
经颞叶皮质入路
显微手术
老年高血压性基底节区出血
Lateral fissure approach
Transtemporal cortex approach
Microsurgery
Hypertensive basal ganglia hemorrhage in elderly
