皮层造瘘显微术与脑沟间入路显微术治疗自发性基底节区脑出血的疗效比较

Comparison on the Efficacy between Cortical Ostomy Microscopy and Intersulcus Approach Microscopy in the Treatment of Spontaneous Basal Ganglia Hemorrhage

目的对比皮层造瘘显微术与脑沟间入路显微术治疗自发性基底节区脑出血的临床效果。方法回顾性分析2016年1月至2019年1月我院收治的100例自发性基底节区脑出血患者的临床资料,根据手术方式不同分为A组(n=44)与B组(n=56)。A组采用皮层造瘘显微术治疗,B组采用脑沟间入路显微术治疗。比较两组的昏迷程度、并发症及预后情况。结果术前,两组的GCS评分比较无统计学差异(P>0.05);术后,两组的GCS评分均低于术前(P<0.05),但两组的GCS评分比较无统计学差异(P>0.05)。两组的术后并发症发生率比较无统计学差异(P>0.05)。B组的GOS评分分级明显优于A组(P<0.05)。结论皮层造瘘显微术与脑沟间入路显微术均可有效改善自发性基底节区脑出血患者的昏迷状态,但脑沟间入路显微术治疗患者预后情况更好。

Objective To compare the clinical effect of cortical ostomy microscopy and intersulcus approach microscopy in the treatment of spontaneous basal ganglia hemorrhage.Methods The clinical data of 100 patients with spontaneous basal ganglia hemorrhage admitted to our hospital from January 2016 to January 2019 were retrospectively analyzed,and divided into group A(n=44)and group B(n=56)according to different surgical methods.Group A was treated with cortical ostomy microscopy,and group B was treated with intersulcus approach microscopy.The coma degree,complications and prognosis were compared between the two groups.Results Before surgery,no statistical difference was found in the GCS score between the two groups(P>0.05).After surgery,the GCS scores of the two groups were lower than those before surgery(P<0.05),but no statistical difference was found in the GCS score between the two groups(P>0.05).No statistical difference was found in the incidence of postoperative complications between the two groups(P>0.05).The GOS score grade of group B was significantly better than that of group A(P<0.05).Conclusions Both cortical ostomy microscopy and intersulcus approach microscopy can effectively improve the coma of patients with spontaneous basal ganglia hemorrhage,but the prognosis of intersulcus approach microscopy is better.