[1]魏雪峰,曹富裕,李宗正.三种不同方式治疗高血压脑基底节区出血的回顾性临床研究[J].临床神经外科杂志,2014,(06):456-461.
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三种不同方式治疗高血压脑基底节区出血的回顾性临床研究
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
期数:
2014年06期
页码:
456-461
栏目:
论著
出版日期:
2014-12-31

文章信息/Info

Title:
A retrospective-analysis of three different therapy for hypertensive intracerebral hematomas in basal ganglia region
作者:
魏雪峰曹富裕 李宗正
宁夏医科大学
关键词:
高血压脑出血神经内镜微骨窗手术
Keywords:
hypertensive intracerebral hemorrhage neuroendoscopic key-hole approch conservation treatment
分类号:
R651.1
文献标志码:
A
摘要:
目的: 探讨神经内镜和微骨床入路血肿清除术在高血压脑基底节区血肿手术治疗中的效果及预后,以期更好的为临床治疗提供参考。方法: 应用神经内镜手术清除22例高血压脑基底节区血肿, 与25例高血压脑基底节区血肿应用微骨窗入路开颅,比较手术血肿清除率、住院期间并发症发生率、住院好转天数、住院期间死亡率及远期疗效。结果:两组在血肿清除率、住院期间并发症发生率及住院好转天数上差异有统计学意义(P<0.05);而住院期间死亡率及远期疗效相比,两组差异无统计学意义(P>0.05)。结论: 神经内镜手术清除高血压脑基底节区血肿在一定程度上优于微骨窗入路血肿清除术,,值得临床应用推广。
Abstract:
Objective To explore the endoscopic and micro bone bed approach of hematoma for hypertensive intracerebral hematoma after operation therapy and prognosis, in order to provide the reference for the clinical treatment. Methods : Application of neuroendoscopic operation to clear 22 cases of hypertensive intracerebral hematomas in basal ganglia region, and 25 cases of hematoma of hypertensive intracerebral application of Keyhole Approach Craniotomy comparison operation, hematoma clearance rate, in-hospital complication rate, hospitalization days, improve hospital mortality and long-term curative effect. Results: The two group in the hematoma clearance rate, in-hospital complication rate and hospitalization days. There was significant difference (P < 0.05); compared with the curative effect and long-term mortality during hospitalization, no significant difference between two groups (P > 0.05). Conclusion: Endoscopic operation to remove the hypertensive ganglia region hematomas,to a certain extent ,better than the keyhole approach of hematoma,is worthy of clinical application.

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备注/Memo

备注/Memo:
[收稿日期] 2014-06-21
更新日期/Last Update: 2014-12-15