改良软通道微创穿刺引流治疗基底节血肿的临床体会

Clinical experience of improved minimally invasive puncture drainage in the treatment of basal ganglia hemorrhage using soft drainage tube

目的：探讨改良软通道微创穿刺引流治疗基底节血肿的临床效果。方法选择2011年2月~2014年2月本院收治的基底节血肿患者52例，采用改良软通道微创穿刺引流技术进行治疗，手术后7 d采用格拉斯哥昏迷量表（GCS）评估患者的意识水平，手术后14 d采用斯堪的纳维亚卒中量表（SSS）对神经功能进行评分。结果52例患者中，完全恢复26例，生活基本自理22例，中转开颅4例，无一例死亡。术后7 d GCS评分与治疗前比较，差异无统计学意义（P〉0.05），术后14 d GCS评分与治疗前比较，差异有统计学意义（P〈0.05）。术后14 d及28 d SSS评分与治疗前比较，差异有统计学意义（P〈0.05，P〈0.01）。结论改良软通道微创穿刺引流治疗基底节血肿有效，操作相对简单，适宜在临床推广。

Objective To explore the clinical efficacy of improved minimally invasive puncture drainage in the treat-ment of basal ganglia hemorrhage using soft drainage tube. Methods 52 patients with basal ganglia hemorrhage in our hospital from February 2011 to February 2014 were selected,and were treated by improved minimally invasive puncture drainage using soft drainage tube.The level of consciousness was assessed by Glasgow coma scale （GCS） after 7 days surgery, nerve function was assessed by Scandinavian stroke scale （SSS） after 14 days surgery. Results Among these 52 patients, 26 cases were complete recovery,22 cases in self-care of daily life,and the rest 4 patients were transferred to cranioto-my.There was no death case occurred.After 7 days surgery,the GCS score had no significant difference compared with pretreatment （P〉0.05）;after 14 days surgery,the difference was significant （P〈0.05）.The SSS scores of 7 days and 14 days after surgery both displayed statistical differences （P〈0.05 or P〈0.01）. Conclusion Improved minimally invasive puncture drainage in the treatment of basal ganglia hemorrhage using soft drainage tube can obtain a great effect with easy performance,which is worthy of expansion in clinic.