两种手术治疗基底节区高血压脑出血的临床比较

Clinical Comparison of Two Surgical Treatments for Hypertensive Intracerebral Hemorrhage in Basal Ganglia Region

目的探讨基底节区高血压脑出血最佳手术方案。方法以2014年12月—2017年1月于我院行开颅血肿清除术治疗的基底节区高血压脑出血患者作为研究对象。比较采用经外侧裂-岛叶入路35例(观察组)和采用经皮质入路35例患者的(对照组)血肿清除情况和Bathel指数。结果观察组血肿清除效果优于对照组,术后3个月Bathel指数高于对照组,差异有统计学意义(P<0.05)。结论经外侧裂-岛叶入路开颅血肿清除术治疗基底节区高血压脑出血患者,血肿清除更彻底,预后效果更好。

Objective To investigate the best surgical treatment of hypertensive intraeerebral hemorrhage in basal ganglia region. Methods From December 2014 to January 2017, the patients with hypertensive intracerebral hemorrhage in basal ganglia treated by craniotomy and hematoma evacuation in our hospital were studied. 35 cases （observation group） were given lateral fissure insular approach, and 35 patients （control group） were given percutaneous approach. The hematoma clearance and Bathel index were compared between the two groups. Results The hematoma clearance in the observation group was better than that in the control group, and the Bathel index at 3 months after operation was higher than that in the control group, the difference was statistically significant （P 〈 0.05）. Conclusion Craniotomy through the lateral fissure Island approach is effective for the treatment of hypertensive intracerebral hemorrhage in basal ganglia, and has better prognosis and better Prognosis.