| 贺峰,闫昕.中小量基底节脑出血行超早期微创手术效果分析[J].安徽医药,2017,21(9):1659-1661. |
| 中小量基底节脑出血行超早期微创手术效果分析 |
| Effect analysis of minimally invasive surgery on small and medium sized basal ganglia intracerebral hemorrhageHE Feng,YAN Xin (Department of Neurosurgery,Space Center Hospital,Beijing 100049,China) Abstract:Objective |
| 投稿时间：2016-10-21 |
| DOI： |
| 中文关键词: 中小量 基底节脑出血 超早期微创 |
| 英文关键词: Middle and small quantity Basal ganglia intracerebral hemorrhage Ultra early minimally invasive |
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| 中文摘要: |
| 目的 探讨中小量基底节脑出血行超早期微创手术治疗的效果。 方法 选取110例中小量基底节脑出血患者,采用随机数字表法将其随机分为观察组和对照组,每组55例,其中观察组采用超早期微创手术治疗,对照组采用内科保守治疗,比较两组患者治疗后1 d及3 d的血肿及水肿体积,治疗后1、2、4周的神经功能缺损情况及治疗后的日常生活能力情况。 结果 术后1、2、4周观察组的脑卒中量表评分均高于对照组,组间比较差异有统计学意义(P<0.05)。与对照组相比,观察组治疗后1 d和3 d的壳核、丘脑血肿体积和水肿体积均明显减小,组间比较差异有统计学意义(P<0.001)。观察组中独立+轻度依赖的治疗有效率为81.82%,对照组为66.67%,组间比较差异有统计学意义(P<0.05)。 结论 对于中小量的基底节脑出血患者应用超早期微创手术治疗,并给予及时有效的降压及脱水治疗效果较好,能够有效及时缓解患者的临床症状,缩小血肿的体积,值得推广应用。 |
| 英文摘要: |
| Objective To investigate the effect of minimally invasive surgery in the treatment of basal ganglia hemorrhage. Methods One hundred and ten cases of patients with small amounts of basal ganglia bleeding in Department of Neurosurgery,Space Center Hospital by the digital random method were randomly assigned into observation group and control group,55 cases in each group.The observation group was given the ultra-early minimally invasive surgical treatment,while the control group was given conservative treatment.The hematoma and edema volume of patients in 1 d and 3 d after treatment,the neurological function of patients in 1,2,4 weeks after treatment,and the daily life ability after treatment were compared between the two groups. Results In 1,2,and 4 weeks after treatment,the stroke scale scores in observation group was higher than those in control group；the difference was statistically significant (P<0.05).Compared with the control group, the volume and edema volume of putamen, thalamus and hematoma in the observation group after 1 d and 3 d were smaller, and the difference between the two groups was statistically significant (P<0.001).The effective rate of the observation group was 81.82% and that of the control group was 66.67%.The difference was statistically significant (P<0.05). Conclusions As for patients with small amount of cerebral hemorrhage in basal ganglia,ultra-early minimally invasive surgical treatment,together with timely and effective anti-hypertension and dehydration therapy,can effectively relieve the clinical symptoms of the patients,and reduce the hematoma volume.So,the therapeutic method of minimally invasive surgery is worthy of popularization and application. |
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