改良立体定向经额部软通道治疗基底节区高血压脑出血的临床分析

Analysis in the treatment of hypertensive cerebral hemorrhage of basal ganglia region with modified stereotaxic frontal soft-channel

目的探讨改良立体定向经额部软通道治疗基底节区高血压脑出血的临床疗效。方法将患者分两组,治疗组:用改良立体定向经额部软通道治疗基底节区高血压脑出血52例。对照组:用传统开颅手术治疗52例,比较这两种手术方式的治疗效果。结果改良立体定向治疗组与传统开颅对照组相比,前者术后并发症明显减少,病死率、致残率明显下降,术后生活自理能力明显提高。结论改良立体定向经额部软通道治疗基底节区高血压脑出血具有定位准确,手术时间短,创伤小,术后恢复快,病死率低,尤其适用于高龄危重、不能耐受开颅手术的患者,值得在基层医院推广使用。

Objective To investigate the curative effects on the treatment of hypertensive cerebral hemorrhage of basal ganglia region with modified stereotaxic frontal soft-channel. Methods A total of 104 cases with hypentensive cerebral hemorrhage of basal ganglia region were divided into two groups, namely treatment group and control group. The treatment group was treated by modified stereotaxic frontal soft-channel and the control group was treated by traditional eraniotomy. The therapeutic efficacies were compared between two surgical procedures. Results In the compared with control group, the treatment group had a lower postoperative complications, fatality rate and disability rate. And postoperative self-care viability had a significant improvement. Conclusion Modified stereotaxic frontal soft-channel possess accurate positioning, short operative time, less trauma, quick postoperative recovery and low fatality rate in the treatment of hypertensive cerebral hemorrhage of basal ganglia region and it is most suitable for elderly critical patients and intolerable craniotomy patients.