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内镜辅助下经外侧裂手术对基底节区高血压性脑出血的效果及患者NIHSS评分的影响

Effects of Endoscopically-assisted Lateral Fissure Surgery on Hypertensive Cerebral Hemorrhage in Basal Ganglia Region and NIHSS Score

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【作者】 冯屹李斌谭卫汪洋李传伟钟文钟伟

【Author】 FENG Wei;LI Bin;TAN Wei;Guilin People’s Hospital;

【机构】 广西壮族自治区桂林市人民医院神经外科

【摘要】 目的:探讨内镜辅助下经外侧裂手术对基底节区高血压性脑出血的效果及患者NIHSS评分的影响。方法:选取2016年1月至2018年1月我院收治的88例基底节区高血压性脑出血患者,随机分为两组,对照组应用经皮质显微神经外科技术治疗,研究组应用内镜辅助下经外侧裂手术治疗。对比两组患者的术后状态、NIHSS评分和手术指标。结果:研究组术后状态、NIHSS评分和手术指标好于对照组(P<0.05)。结论:基底节区高血压性脑出血患者的治疗过程当中,使用内镜辅助下经外侧裂手术治疗效果明显,降低了不良反应发生率,患者的满意度高和治疗依从性高,因此该方法应大力的推广和使用。

【Abstract】 Objective: To explore the effect of endoscopically-assisted lateral fissure surgery on hypertensive cerebral hemorrhage in basal ganglia region and the influence of patients’ NIHSS score. Methods: 88 patients with hypertensive cerebral hemorrhage in basal ganglia region admitted to our hospital from January 2016 to January 2018 were selected and randomly divided into two groups. The control group was treated by transcortical microneurosurgical technique, and the research group was treated by translateral fissure surgery under endoscopy. The postoperative state, NIHSS score and surgical indicators of the two groups were compared. Results the postoperative status, NIHSS score and surgical index of the study group were better than those of the control group(P<0.05). Conclusion: During the treatment of hypertensive intracerebral hemorrhage in basal ganglia region, endoscope-assisted surgery through lateral fissure has a significant effect, reducing the incidence of adverse reactions, high patient satisfaction and treatment compliance. Therefore, this method should be widely used.

【基金】 广西壮族自治区卫生和计划生育委员会自筹经费科研课题,(编号:z2015231)
  • 【分类号】R651.1
  • 【被引频次】18
  • 【下载频次】51
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