赵伟;袁建伟;宋腾;朱明启;

• 1:菏泽市立医院

摘要(Abstract)：

目的对比经额中回内镜辅助下血肿清除与开颅血肿清除术治疗高血压基底节区出血的疗效,优化高血压脑出血的个性化治疗方案。方法纳入2016-01—2019-09菏泽市立医院神经外科收治的符合入选标准的108例高血压基底节区出血患者,其中68例采用内镜辅助下血肿清除术(内镜组),40例采用开颅血肿清除术(开颅组)。比较两种术式的手术时间、血肿清除率、术后失语、术后1周GCS评分、术后并发症、术后1个月的病死率及术后6个月日常生活活动能力(ADL)的良好率。结果内镜组与开颅组血肿清除率[(94.9±2.7)%vs (82.8±5.2)%,P<0.001)、血肿清除时间[(66.7±4.4)min vs (173.8±47.5)min,P<0.001)、术后失语(25.0%vs 67.5%)比较差异均有统计学意义。内镜组术后1周GCS评分(11.0±1.2 vs 9.1±1.5,P<0.001)、术后并发症明显低于开颅组,术后6个月ADL良好率高于开颅组,差异均有统计学意义。结论经额中回内镜辅助血肿清除术是治疗高血压基底节区出血安全、有效的方法,能显著改善病人语言功能。

关键词(KeyWords)： 高血压脑出血;基底神经节;内镜;开颅血肿清除术;额中回

Abstract:

Keywords:

基金项目(Foundation): 山东省医药卫生科技发展计划(编号:2016WSA17005)

作者(Authors): 赵伟;袁建伟;宋腾;朱明启;

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