青年高血压基底节脑出血手术治疗术式及效果分析

Surgical Treatment of Hypertensive Basal Ganglia Hemorrhage in Young Adults

目的探讨青年高血压基底节脑出血手术治疗术式及效果。方法选取2010年8月—2017年6月在本院接受诊治的青年高血压基底节脑出血患者60例作为研究对象。观察组与对照组分别实施神经内镜辅助小骨窗开颅手术、常规开颅手术治疗。结果对照组患者的手术时间高于观察组,对照组组患者的残余血肿量和术中出血量均高于观察组,差异具有统计学意义(P<0.05)。治疗前,两组患者神经功能损伤状况评分比较,差异不具有统计学意义(P>0.05);治疗后,两组患者评分较治疗前均明显降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。对照组患者并发症发生率高于观察组,术后GOS评分为优率高于对照组,术后GOS评分为良率低于对照组,差异具有统计学意义(P<0.05)。结论对患者采用神经内镜辅助小骨窗开颅手术,利于提高患者预后,避免或降低并发症的产生,诊治疗效较好。

Objective To explore the surgical treatment and effect of hypertensive basal ganglia hemorrhage in young people. Methods 60 cases of young hypertensive basal ganglia hemorrhage treated in our hospital from August 2010 to June 2017 were selected as the research subjects. The observation group and the control group were treated with neuro endoscope assisted small bone window craniotomy and conventional craniotomy respectively. Results The operation time of the control group was higher than that of the observation group. The amount of residual hematoma and the amount of bleeding in the control group were higher than those in the observation group, the difference was statistically significant （P 〈 0.05）. Before treatment, there was no signifcant diference in neurological impairment score between the two groups （P 〉 0.05）. After treatment, the scores of the two groups were significantly lower than those beforetreatment, and the observation group was lower than that of the control group, the diference was statistically signifcant （P 〈 0.05）. The incidence of complications in the control group was higher than that in the observation group. The postoperative GOS score was higher than that of the control group. The postoperative GOS score was lower than the control group, and the difference was statistically significant （P 〈 0.05）. Conclusion Neuroendoscope assisted small bone window craniotomy is helpful to improve the prognosis of patients and avoid or reduce complications.