两种锥颅方式治疗自发性基底节小血肿疗效比较

Clinical efficacy comparison of two methods in treatment of spontaneous small basal ganglia hematoma

目的探讨徒手定位引流法与头皮定位引流法在自发性基底节小血肿的临床效果。方法对我院2008-01—2012-05收治的78例自发性基底节区出血患者的临床资料进行回顾性分析,其中45例患者采用徒手定位引流法(A组),33例采用简易头皮定位引流法(B组),术后均给予尿激酶溶解血肿,比较2组临床效果。结果头皮定位引流法与徒手定位引流法的临床疗效相当,差异无统计学意义(P>0.05);徒手定位引流组拔管时间(7.8±2.0)d,而头皮定位组为(5.2±2.2)d,2组比较差异有统计学意义(P<0.05)。结论徒手定位法常需要多次调整引流管,增加了再出血的风险,而头皮拔管时间短,术后恢复快,值得临床应用。

Objective To investigate the clinical effect of bare-handed location and scalp marker-guided location in treatment of spontaneous small basal ganglia hematoma.Methods The clinical data of 78 patients with spontaneous basal ganglia hemorrhage were retrospectively analyzed,including 45 patients with the method of bare-handed location（group A）,33 patients with the method of scalp marker-guided location（group B）,the clinical efficacy of two groups were compared.Results The clinical efficacy of two groups was similar,and the difference was not statistically significant（P〉0.05）;the drainage time in group A was longer than group B,and the difference was statistically significant（P〈0.05）.Conclusion The clinical efficacy of bare-handed location and scalp marker-guided location is similar,but scalp marker-guided location has shorter drainage time with rapid postoperative recovery,and it is worth to recommended clinical applications.