高血压性基底节区脑出血微创软通道治疗106例分析

Minimally invasive treatment of soft-channel analysis hypertensive basal ganglia hemorrhage

目的探讨高血压性基底节区脑出血微创软通道治疗的效果。方法选取2008年3月~2012年3月我院收治的106例高血压性基底节区脑出血患者,将其随机分为微创软通道治疗组(53例)和小骨窗血肿清除治疗组(53例)。观察两组的总体治疗有效率、死亡率以及3个月后的ADL分级状况。结果微创软通道治疗组的总体治疗有效率为92.45%,显著高于小骨窗血肿清除治疗组的71.70%(P<0.05);微创软通道治疗组的死亡率为3.77%,显著小于小骨窗血肿清除治疗组的9.43%(P<0.05);微创软通道治疗组3个月后的日常生活功能评定(ADL),Ⅰ级30例,Ⅱ级11例,Ⅲ级5例,Ⅳ~Ⅴ级5例,小骨窗血肿清除治疗组的日常生活功能评定(ADL),Ⅰ级15例,Ⅱ级18例,Ⅲ级10例,IV^V级5例。结论在严格掌握手术适应证的前提下,经微创钻孔治疗高血压性基底节区脑出血可有效清除颅内血肿,从而减轻脑组织水肿,操作简单、安全,可显著改善患者预后,降低致死、致残率。

Objective To explore the effect of minimally invasive soft channel in treatment of hypertensive basal ganglia hemorrhage. Methods Selected 106 cases of hypertensive basal ganglia hemorrhage patients in our hospital from March 2008 to March 2012,and randomly divided into minimally invasive soft-channel treatment group（53 cases） and a small bone window hematoma treatment group（53 cases）. Two groups of the overall efficiency of the treatment,mortality and ADL classification status after three months were observed. Results The overall treatment of minimally invasive soft-channel effective rate of the treatment group was significantly higher than the 92.45% 71.70% small bone window hematoma in the treatment group（P〈0.05）; mortality minimally invasive soft channel was 3.77% in the treatment group was significantly smaller than the small bone window 9.43% hematoma treatment group（P〈0.05）; minimally invasive treatment of soft channel group of the assessment of activities of daily living（ADL） after three months,Ⅰ grade was 30 cases,Ⅱ grade was 11 cases,Ⅲ grade was five cases,Ⅳ- Ⅴ was 5 cases,everyday life functional assessment of small bone window hematoma treatment group（ADL）,Ⅰ grade was15 cases,Ⅱ grade was18 cases,Ⅲ grade was10 cases,Ⅳ- Ⅴ was 5 cases. Conclusion Under the premise of strictly surgical indications,drilling through minimally invasive treatment of hypertensive basal ganglia hemorrhage can effectively remove intracranial hematoma,thereby reducing brain edema,and operation is simple,safe,which can significantly improve patient outcomes and reduce mortality,morbidity.