首页|显微镜辅助经侧裂入路手术在高血压脑出血患者临床治疗中的效果观察

显微镜辅助经侧裂入路手术在高血压脑出血患者临床治疗中的效果观察

扫码查看
目的 探究显微镜辅助经侧裂入路手术对高血压脑出血(HICH)患者的影响.方法 选取该院2021年4月—2023 年4月收治的 86 例HICH患者为研究对象,按随机数字表法分为对照组与观察组,各 43 例.对照组行经颞叶皮质入路手术,观察组行显微镜辅助经侧裂入路手术,术后观察 1个月.对比两组患者的手术情况、神经因子水平及并发症发生情况.结果 观察组手术时间为(83.25±4.49)min,短于对照组的(109.96±5.31)min,血肿清除率为(91.25±3.63)%,高于对照组的(80.42±2.57)%,并发症发生率为 4.65%,低于对照组的 18.60%,组间差异有统计学意义(P﹤0.05).术后,神经元特异性烯醇化酶为(10.38±1.24)μg/mL,胶质纤维酸性蛋白为(3.24±0.40)pg/mL,S-100β蛋白为(0.08±0.01)ng/mL,均低于对照组的(13.21±1.59)μg/mL、(4.01±0.59)pg/mL、(0.21±0.03)ng/mL,组间差异有统计学意义(P﹤0.05).结论 显微镜辅助经侧裂入路手术可清除HICH患者血肿,降低神经因子水平,且并发症少.
Observation of the Therapeutic Effect of Microscope-Assisted Lateral Fissure Approach Surgery in the Clinical Treatment of Patients with Hypertensive Intracerebral Hemorrhage
Objective To explore the effect of microscope-assisted lateral fissure approach surgery on patients with hypertensive intracerebral hemorrhage(HICH).Methods 86 patients with HICH admitted to the hospital from April 2021 to April 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 43 cases in each group.The control group underwent transtemporal cortex approach,and the observation group underwent microscopy-assisted translateral cleft approach.The operation was observed for 1 month after operation.The operation status,the level of neurofactors and the occurrence of complications were compared between the two groups.Results The operation time in the observation group was(83.25±4.49)min,shorter than(109.96±5.31)min in the control group,the clearance rate of hematoma was(91.25±3.63)%,higher than(80.42±2.57)% in the control group,the incidence of complications was 4.65%,lower than 18.60% in the control group,the differences between groups were statistically significant(P﹤0.05).After operation,neuron-specific enolase was(10.38±1.24)μg/mL,glial fibrillary acidic protein was(3.24±0.40)pg/mL,and S-100β protein was(0.08±0.01)ng/mL,they were lower than(13.21±1.59)μg/mL,(4.01±0.59)pg/mL,(0.21±0.03)ng/mL of the control group,and there were statistical significance between groups(P﹤0.05).Conclusion Microscopic assisted surgery through the lateral fissure approach can clear hematoma in HICH patients,reduce nerve factor levels,and have fewer complications.

Hypertensive cerebral hemorrhageComplicationsNeurofactors

郑达理

展开 >

汶上县人民医院神经外科,山东济宁 272500

高血压脑出血 并发症 神经因子

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
  • 10