两种不同手术入路治疗基底节区脑出血的疗效

Efficacy of Two Different Surgical Approaches in the Treatment of Basal Ganglia Hemorrhage

目的分析两种不同手术入路治疗基底节区脑出血的疗效。方法选取我院2015年1月—2018年10月收治的基底节区脑出血患者50例患者(脑内血肿量40～60 mL,无脑疝表现)作为研究对象。将全部研究对象随机分为两组。对照组(25例)采用传统的改良翼点切口颞叶入路行脑内血肿清除术;观察组(25例)采用显微镜下直切口小骨窗经外侧裂入路行脑内血肿清除术,对比两组患者的各项指标。结果观察组患者的治疗效果、死亡情况、意识恢复情况以及再出血率均优于对照组,组间各数据比较,差异具有统计学意义(P <0.05)结论针对基底节区脑出血患者采用显微镜下直切口小骨窗经外侧裂入路行脑内血肿清除术治效果较好。

Objective To analyze the efficacy of two different surgical approaches in the treatment of basal ganglia hemorrhage.Methods 50 patients with basal ganglia intracerebral hemorrhage (40~60 mL of intracerebral hematoma,no manifestation of cerebral hernia) admitted to our hospital from January 2015 to October 2018 were selected as the subjects of study.All the subjects were randomly divided into two groups.The control group (25 cases) underwent intracerebral hematoma removal through the traditional modified pterional incision through temporal lobe approach.The observation group (25 cases) underwent intracerebral hematoma clearance through the lateral fissure approach through a small bone window through a straight incision under the microscope,and the indexes of the two groups were compared.Results The therapeutic effect,mortality,consciousness recovery and rebleeding rate of the patients in the observation group were better than those in the control group,and the difference was statistically significant (P<0.05).Conclusion For patients with cerebral hemorrhage in basal ganglia region,it is better to remove intracerebral hematoma through the lateral fissure approach through a small bone window through a straight incision under the microscope.