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定位尺辅助下软通道引流高血压脑出血疗效评估

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目的 分析和探讨定位尺辅助下软通道引流在高血压脑出血患者中的治疗效果.方法 回顾性分析2017年1月—2022年12月徐州市贾汪区人民医院收治的80例高血压脑出血患者的临床资料,根据不同手术方式分为引流组和开颅组,每组40例,分别行定位尺辅助下软通道引流术和显微镜下开颅血肿清除术.比较两组术后血肿清除率、血肿周围水肿的体积、神经缺损程度、并发症发生率和预后情况.结果 与开颅组相比,引流组术后血肿清除率[(91.58±6.72)%]较高,差异有统计学意义(t=3.944,P<0.001).引流组血肿周围水肿体积、神经功能缺损程度和并发症总发生率均低于开颅组,预后优良率高于开颅组,差异有统计学意义(P均<0.05).结论 定位尺辅助下软通道引流治疗高血压脑出血定位准确,引流清除血肿确切,可有效减轻水肿程度,降低并发症发生率,并减轻神经缺损程度和改善预后.
Evaluation of Therapeutic Effect of Soft Channel Drainage for Hyperten-sive Cerebral Hemorrhage with the Assistance of Positioning Ruler
Objective To analyze and discuss the therapeutic effect of soft channel drainage assisted by positioning ruler in patients with hypertensive cerebral hemorrhage.Methods The clinical data of 80 patients with hypertensive intracerebral hemorrhage admitted to Xuzhou Jiawang District People's Hospital from January 2017 to December 2022 were retrospectively analyzed.According to different surgical methods,they were divided into drainage group and cra-niotomy group,with 40 cases in each group.Soft channel drainage assisted by positioning ruler and craniotomy hema-toma removal under microscope were performed respectively.The postoperative hematoma clearance rate,volume of edema around hematoma,degree of nerve defect,incidence of complications and prognosis were compared between the two groups.Results Compared with the craniotomy group,the postoperative hematoma clearance rate[(91.58±6.72)%]in the drainage group was higher,and the difference was statistically significant(t=3.944,P<0.001).The volume of edema around hematoma,the degree of neurological deficit and the total incidence of complications in the drainage group were lower than those in the craniotomy group,and the excellent and good rate of prognosis was higher than that in the craniotomy group,the differences were statistically significant(all P<0.05).Conclusion In the treatment of hy-pertensive intracerebral hemorrhage,soft channel drainage assisted by positioning ruler is accurate,and the drainage can remove hematoma accurately,which can effectively reduce the degree of edema,reduce the incidence of complica-tions,reduce the degree of nerve defect and improve the prognosis.

Positioning rulerSoft channel drainageHypertensive cerebral hemorrhageCerebral edema

陈默、姚桂军

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徐州市贾汪区人民医院神经外科,江苏徐州 221011

定位尺 软通道引流 高血压脑出血 脑水肿

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(3)
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