三种不同手术方式治疗基底节区脑出血的对侧下肢肌力预后比较

The Comparison of the Prognosis of the Contralateral Lower Extremity Muscle Strength after Three Different Operation Methods in the Basal Ganglia Intracerebral Hemorrhage

目的:初步探讨神经内镜手术、立体定向抽吸手术、导航辅助内镜手术治疗基底节区脑出血的术后对侧下肢肌力预后差异。方法:对基底节区脑出血患者经单纯内镜手术治疗 17 例(内镜组)、立体定向抽吸手术治疗的 16 例(立体定向组)和导航辅助内镜手术治疗的 8 例(导航内镜组)的临床资料进行回顾性分析。比较 3 组手术时间、血肿清除率、术后 CT 显示不良事件、住院时间及术后 3 个月肌力恢复情况等资料。结果:三组的平均手术时间、皮层造瘘口大片梗塞或再次出血的不良事件发生率、血肿清除率、平均住院时间、术后肌力恢复情况差异无统计学意义(P>0.05)。结论:较之神经内镜手术清除基底节区血肿,导航辅助内镜手术和立体定向抽吸手术对于促进术后肌力恢复的差异无统计学意义。

Objective: To explore the difference of clinical prognosis between endoscopic surgery alone, stereotactic aspiration surgery and navigation-assisted endoscopic surgery in the treatment of the basal ganglia intracerebral hemorrhage. Methods: The clinical data of 17 patients with cerebral hemorrhage in basal ganglia treated by endoscopy surgery (endoscopy group), 16 patients treated by stereotactic aspiration (stereotactic group) and 8 patients treated by navigation-assisted endoscopy (navigation endoscopy group) were retrospectively analyzed. The operative time, hematoma clearance rate, adverse events on CT after operation, hospitalization time and muscle strength recovery at 3 months after operation were compared among the three groups. Results: There were no significant differences in mean operation time, incidence of adverse events of massive infarction or rebleeding, hematoma clearance rate, average hospitalization time and muscle strength recovery among the three groups (P>0.05). Conclusion: There was no significant difference between three groups in the recovery of muscle strength after surgery after removal of hematoma in basal ganglia.