立体定向微创穿刺置管引流术对基底核区脑出血的疗效

Effect of Stereotactic Minimally Invasive Puncture and Drainage on Cerebral Hemorrhage in Basal Ganglia

目的:探讨立体定向微创穿刺置管引流术对基底核区脑出血患者的血肿清除效果及对神经功能恢复情况的影响。方法:选取2020年1月至2021年6月新郑天佑中医院收治的基底核区脑出血患者70例,随机分为观察组35例与对照组35例。对照组采用开颅血肿清除术治疗,观察组采用立体定向微创穿刺置管引流术治疗。比较两组患者围术期指标、术后血肿清除率、治疗前后神经功能、术后并发症发生率。结果:观察组患者的手术时间、住院时间短于对照组,术中出血量少于对照组,差异均具有统计学意义(P<0.05);两组患者的血肿清除率比较,差异无统计学意义(P>0.05);观察组患者术后美国国立卫生研究院卒中量表(NIHSS)评分较对照组低,且术后并发症发生率(5.71%)也较对照组(22.86%)更低,差异均具有统计学意义(P<0.05)。结论:采用立体定向微创穿刺置管引流术治疗基底核区脑出血患者,可缩短手术时间、减少术中出血量,有效清除颅内血肿,促进神经功能恢复,继而缩短住院时间,且安全性较高。

Objective To investigate the effect of stereotactic minimally invasive puncture and drainage on hematoma removal and neurological function recovery in patients with basal ganglia hemorrhage.Methods 70 patients with basal ganglia cerebral hemorrhage admitted to Xinzheng Tianyou Hospital of Traditional Chinese Medicine from January 2020 to June 2021 were randomly divided into an observation group and a control group with 35 cases in each group.The control group was treated with craniotomy hematoma removal,and the observation group was treated with stereotactic minimally invasive puncture catheter drainage.Perioperative indicators,postoperative hematoma clearance rate,neurological function before and after treatment,and incidence of postoperative complications were compared between the two groups.Results The operation time and hospitalization time of the observation group were shorter than those in the control group,and the amount of intraoperative blood loss was less than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in hematoma clearance rate between the two groups(P>0.05).The National Institutes of Health Stroke Scale(NIHSS)score in the observation group was lower than that in the control group,and the incidence of postoperative complications was 5.71%,lower than 22.86% in the control group,with statistical significances(P<0.05).Conclusion Stereotactic minimally invasive puncture and drainage for the treatment of basal ganglia cerebral hemorrhage can shorten the operation time,reduce intraoperative blood loss,effectively remove intracranial hematoma,promote the recovery of neurological function,and then shorten the length of hospital stay,with high safety.