首页|基底节脑出血微创治疗与开颅手术应用于高血压脑出血患者的临床安全性

基底节脑出血微创治疗与开颅手术应用于高血压脑出血患者的临床安全性

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目的 分析高血压脑出血实施基底节脑出血微创治疗与开颅手术的安全性.方法 回顾性选取济南市济阳区中医医院于2021年9月—2023年9月收治的80例高血压脑出血患者的临床资料.以手术方法分为开颅组、微创组,各40例,前组行开颅手术,后组行基底节脑出血微创治疗.比较两组的恢复情况及临床安全性.结果 微创组手术时间、切口长度、出院时间短于开颅组,颅骨缺损面积小于开颅组,引流时间长于开颅组,差异有统计学意义(P均<0.05).术后,微创组日常生活活动能力评分高于开颅组,美国国立卫生研究院卒中量表评分低于开颅组,差异有统计学意义(P均<0.05).微创组并发症发生率为2.50%,低于开颅组的20.00%,差异有统计学意义(χ2=4.501,P=0.034).结论 基底节脑出血微创治疗安全性高,能预防各种手术并发症,缩短高血压脑出血恢复时间,提升自理能力.
Clinical Safety of Minimally Invasive Treatment of Basal Ganglia Cerebral Hemorrhage Versus Craniotomy Application in Patients with Hypertensive Cerebral Hemorrhage
Objective To analyze the safety of minimally invasive treatment of basal ganglia cerebral hemorrhage ver-sus craniotomy in hypertensive cerebral hemorrhage.Methods The clinical data of 80 hypertensive cerebral hemor-rhage patients admitted to Jinan Jiyang District Hospital of Traditional Chinese Medicine from September 2021 to Sep-tember 2023 were retrospectively selected.They were divided into craniotomy group and minimally invasive group by surgical method,with 40 cases each.The former group underwent craniotomy,and the latter group underwent mini-mally invasive treatment for basal ganglia cerebral hemorrhage.The recovery and clinical safety of the two groups were compared.Results The operation time,incision length and discharge time of minimally invasive group were shorter than that of craniotomy group,the area of cranial defect was smaller than that of craniotomy group,and the drainage time was longer than those of craniotomy group,and the differences were statistically significant(all P<0.05).After surgery,the ability to perform activities of daily living score was higher in the minimally invasive group than that in the craniotomy group,and the National Institutes of Health Stroke Scale score was lower than in the craniotomy group,the differences were statistically significant(all P<0.05).The complication rate was 2.50%in the minimally invasive group was lower than 20.00%in the craniotomy group,and the difference was statistically significant(χ2=4.507,P=0.034).Conclusion Basal ganglia cerebral hemorrhage minimally invasive treatment is safe,can prevent various surgi-cal complications,shorten the recovery time of hypertensive cerebral hemorrhage,and improve self-care ability.

Hypertensive cerebral hemorrhageSafetyCraniotomyMinimally invasive treatmentBasal ganglia cerebral hemorrhageRecovery

赵建营、张婉秋、杨凯、王四勇

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济南市济阳区中医医院脑病二科,山东济南 251400

济南市济阳区人民医院感染管理科,山东济南 251400

高血压脑出血 安全性 开颅手术 微创治疗 基底节脑出血 恢复情况

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(11)