神经导航精准定位微创治疗高血压性基底节区脑出血的疗效

Minimally invasive therapy under neural navigation-assisted precise position for hypertensive cerebral hemorrhage in basal ganglia

目的探讨神经导航辅助下经额部穿刺抽吸血肿治疗伴明显肢体活动障碍的高血压性基底节区脑出血的疗效。方法选取2014年6月至2016年12月收治的25例伴明显肢体活动障碍的高血压性基底节区脑出血患者作为研究组,在神经导航辅助下经额部穿刺抽吸血肿,选取同期的26例接受保守治疗的患者作为对照组。观察并比较两组患者肢体功能障碍的改善程度以及整体疗效。结果两组患者均无死亡情况。2周后,研究组肌力总改善率为92.00%,明显高于对照组的53.85%(χ2=9.316,P<0.01);3个月后,研究组患者格拉斯哥预后评分优于对照组(Z=3.004,P<0.05)。结论神经导航辅助下经额部穿刺抽吸血肿治疗伴明显肢体活动障碍的高血压性基底节区脑出血,能够改善患者的瘫痪程度,改善血肿对神经结构的损伤,临床疗效显著。

Objective To investigate the effect of drawing hematoma through neuro-navigation transfrontal puncture on the treatment of hypertensive cerebral hemorrhage（HCH） in basal ganglia with obvious limb movement disorder. Methods Twenty-five intracerebral hemorrhage patients with obvious limb dyscinesia from June 2014 to December 2016 were selected as research group in which hematoma suction via neuro-navigation transfrontal puncture was performed,and 26 patients with same disease were served as control group in which conservative treatment was performed. The improvement of limb dysfunction and the overall effect were observed and compared between two groups. Results There was no death in both two groups. The improvement rate of muscle strength in research group was significantly higher than that in control group at 2 weeks after treatment（92. 00% vs 53. 85%,χ^2= 9. 316,P〈0. 01）. The Glasgow Outcome Scale recovery in research group was better than that in control group at 3 months after treatment（Z = 3. 004,P〈0. 05）. Conclusion It can improve the degree of paralysis and reduce the hematoma＇s damage to nerve structure that neuro-navigation transfrontal puncture is in the treatment of HCH in basal ganglia with obvious limb movement disorder. The clinical effect is remarkable.