外侧裂入路手术对基底节区HICH患者的临床效果及方法分析

发布时间：2018-05-15 01:04

本文选题：外侧裂入路 + 基底节区　；参考：《重庆医学》2017年19期

【摘要】：目的分析外侧裂入路手术治疗基底节区高血压脑出血(HICH)的临床效果。方法回顾性分析该院神经外科2012-2015年手术治疗的120例基底节区HICH患者临床资料,其中64例患者采用外侧裂-岛叶入路治疗(外侧裂组),56例采用传统经颞叶皮层入路手术治疗(经颞叶组),对比两组围术期指标及效果。结果与经颞叶组比较,外侧裂组手术时间明显缩短,血肿清除率明显升高,差异均有统计学意义(P0.05);两组术后再出血率、手术并发症发生率比较,差异均无统计学意义(P0.05);外侧裂组术后第1、3、6个月的日常生活活动能力(ADL)巴氏指数评分明显高于经颞叶组(P0.05);外侧裂组术后1例患者死亡,经颞叶组2例死亡;外侧裂组的预后良好率为70.31%,明显高于经颞叶组的51.78%(P0.05)。结论外侧裂入路手术治疗基底节区HICH较经颞叶皮层入路手术时间更短、血肿清除更加彻底,预后效果更好。
[Abstract]:Objective to analyze the clinical effect of lateral fissure approach in the treatment of hypertensive intracerebral hemorrhage in basal ganglia. Methods the clinical data of 120 patients with HICH in basal ganglia region treated by neurosurgery in our hospital from 2012 to 2015 were retrospectively analyzed. Among them, 64 cases were treated by lateral fissure and insular approach (56 cases of lateral fissure group were treated by traditional transtemporal cortex approach) (transtemporal lobe group, the perioperative index and effect were compared between the two groups. Results compared with the transtemporal lobe group, the operative time and hematoma clearance rate in the lateral fissure group were significantly shortened and the difference was statistically significant (P 0.05). The scores of ADL in the lateral fissure group were significantly higher than those in the temporal lobe group (P 0.05), and one patient died in the lateral fissure group and 2 in the temporal lobe group. The good prognosis rate of lateral fissure group was 70.31, which was significantly higher than that of transtemporal lobe group (51.78%, P 0.05). Conclusion the lateral fissure approach is more effective than the transtemporal cortical approach in the treatment of basal ganglia HICH, the hematoma clearance is more complete and the prognosis is better.
【作者单位】：山东省临沂市沂水中心医院神经外科;
【分类号】：R544.1;R651.12

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