方体定向软通道技术治疗重症高血压脑出血患者的疗效分析
发布时间：2018-04-04 03:44
本文选题：方体定向软通道 切入点：开颅手术 出处：《延边大学》2017年硕士论文
【摘要】：目的分析方体定向软通道技术和开颅手术治疗重症高血压脑出血患者的治疗效果。方法收集本院2014年9月至2016年10月神经外科住院手术治疗的重症高血压脑出血患者120例,随机分为方体定向软通道组(简称微创组,60例)和开颅手术组(开颅组,60例),比较分析了两组患者的临床资料,术前血肿量和GCS评分、发病至开始手术时间、手术时间、术后(1d、3d、7d)残余血量和GCS评分,平均住院日、住院费用、感染率、死亡率、再出血率、术后6个月GOS评分、mRS评分和神经功能恢复良好率。结果与开颅组比较,微创组手术时间(1.52±0.27h vs 0.23±0.05h)明显缩短,两组比较有统计学差异(P0.001);第3d和7d微创组残余血肿量少于开颅组,有统计学差异(P0.001);第3d、7dGCS评分微创组优于开颅组(P0.001)。与开颅组比较,微创组平均住院日(14.45±4.44d vs 9.15±1.75d明显缩短(P0.001),微创组住院费用明显少于开颅组(16,915.9元vs 32,249.3元,P0.001);与开颅组比较,微创组感染率和死亡率均明显下降(P0.05),两组再出血率无统计学差异,术后6个月GOS评分和mRS评分均无统计学差异,微创组神经功能恢复良好率(38.3%vs 18.3%)明显高于开颅组(P0.05)。结论方体定向软通道技术治疗重症高血压脑出血,是一种创伤小、定位准确、操作简便、费用低廉的手术方法,提高患者的生存率,减少并发症及后遗症。
[Abstract]:Objective to analyze the effect of soft channel technique and craniotomy in the treatment of severe hypertensive intracerebral hemorrhage.Methods 120 patients with severe hypertensive intracerebral hemorrhage treated by neurosurgery from September 2014 to October 2016 were collected.The patients were randomly divided into two groups: the soft channel group (60 cases) and the craniotomy group (60 cases). The clinical data, preoperative hematoma volume and GCS score, the time from onset to the beginning of operation, and the time of operation were compared and analyzed between the two groups.Residual blood volume and GCS score, average hospitalization days, hospitalization expenses, infection rate, mortality rate, rebleeding rate, GOS score and neurological function recovery rate 6 months after operation.缁撴灉涓庡紑棰呯粍姣旇緝,寰垱缁勬墜鏈椂闂，
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