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基底节区脑出血患者的微创术治疗临床研究

Clinical Study on the Treatment of Patients With Cerebral Hemorrhage in Basal Ganglia With Minimally Invasive Surgery

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【作者】 苏松罗选荣赵璧胡正琼浦加红

【Author】 SU Song;LUO Xuanrong;ZHAO Bi;HU Zhengqiong;PU Jiahong;Department of Neurosurgery, Wenshan People’s Hospital;

【机构】 文山州人民医院神经外科

【摘要】 目的探讨基底节区脑出血患者的微创术治疗临床疗效。方法以2017年1月—2019年12月期间在本院接受治疗的68例基底节区脑出血患者为研究对象,按照患者治疗方法分为A组及B组,A组32例患者采取微创治疗,B组36例患者采取小骨窗开颅血肿清除术治疗,比较两组手术情况。结果 A组手术时间、术后24小时以及术后3d血肿清除率均高于B组;A组并发症发生率为6.25%,死亡率为3.12%,B组为22.22%和11.11%,两组差异显著(P <0.05)。结论基底节区脑出血采取微创手术治疗效果理想,有效挽救患者生命安。

【Abstract】 Objective To investigate the clinical efficacy of microsurgery in the treatment of cerebral hemorrhage in basal ganglia region. Methods A total of 68 patients with cerebral hemorrhage in the basal ganglia region who received treatment in our hospital from January 2017 to December 2019 were selected as the study objects. The patients were divided into group A and group B according to the treatment methods. 32 patients in group A were received minimally invasive treatment, and 36 patients in group B were received small bone window craniotomy for hematoma removal. Compare the operation status of the two groups. Results The operation time, postoperative 24 hours and postoperative 3 d hematoma clearance rate of group A were all higher than that of group B. The incidence of complications was 6.25% and the mortality was 3.12% in group A, and 22.22% and 11.11% in group B, with significant differences between the two groups(P < 0.05). Conclusion The effect of minimally invasive surgery for cerebral hemorrhage in basal ganglia region is ideal and can effectively save the patient’s life.

  • 【文献出处】 中国卫生标准管理 ,China Health Standard Management , 编辑部邮箱 ,2021年02期
  • 【分类号】R651.1
  • 【下载频次】35
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