首页|微创血肿清除术治疗高龄重型脑基底节区出血临床疗效观察

微创血肿清除术治疗高龄重型脑基底节区出血临床疗效观察

Clincal Curative Effect Observation on Minimally Invasive Treatment of Elderly Severe hemorrhage of Basal Ganglia Region Patients

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目的:探讨YL-l型一次性血肿粉碎穿刺针在治疗高龄重型脑基底节区出血的应用价值。方法:回顾性分析商丘市第一人民医院神经内、外科2009年06月一2012年06月收治的高龄重型脑基底节区出血患者79例,采用YL-l型血肿穿刺针进行微创治疗28例,开颅手术组26例和保守组25例,术后1个月内的治疗观察,微创组分别与保守组、开颅手术组进行对照分析。结果:存活30天以上所有患者,微创组分别与保守组和开颅手术组进行第14天、第30天平均格拉斯哥昏迷评分(GCS)和平均神经功能缺损评分(NIHSS)的比较,经统计学处理后,均具有显著性差异(P<0.01)。结论:高龄重型脑基底节区出血患者通过采用YL-l型一次性颅内血肿粉碎穿刺针进行微创引流治疗效果可靠、简便易施,针对高龄重型脑基底节区出血患者不失为一种可取的治疗方法,值得临床推广应用。
Objective:To investigate the value of YL-1 disposable hematoma comminution puncture needle in treating the elderly severe hemorrhage of basal ganglia region Method:A retrospective analysis on the 79 elderly severe hemorrhage of basal ganglia region patients in the neurology and neurosurgery departments of Shangqiu First People's Hospital from June 2009 to June 2012 in our hospital, 28 cases were treated with YL-1 hematoma comminution puncture needle to minimal y invasive drain, 26 cases were in craniotomy group and 25 cases were in conservative group. After one month’s treatment and observation,Aiming:at al the patients survived more than 30 days , compared the minimal y invasive group with the conservative group and craniotomy group with the fourteenth day’s and the thirtieth day’s average Glasgow coma score (GCS)and average National Institute of Health stroke scale(NIHSS), after statistics management, al have significant difference (P<0.01).Conclusion:The curative effect of minimal invasive drain with YL-1 disposable hematoma comminution puncture needle to treat elderly severe hemorrhage of basal ganglia region patients is reliable and easy to operate, for the elderly severe hemorrhage basal ganglia region patients , it is a advisable treatment and worth spreading and applying in clinic.

YL-l typeMinimal invasiveElderlySevere cerebralhemorrhage

杨青松、臧卫东、方岩

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郑州大学医学院 河南 郑州 450052

商丘市第一人民医院神经内科 河南 商丘 476100

YL-l型 微创 高龄 重症脑出血

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(10)
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