首页> 中文期刊> 《岭南急诊医学杂志》 >超早期微创穿刺引流术治疗基底节区脑出血55例临床分析

超早期微创穿刺引流术治疗基底节区脑出血55例临床分析

         

摘要

Objective: To summarize the clinical efficacy of patients with basal ganglion hemorrhage treated by ultra-early minimally invasive drainage. Methods:107 patients with basal ganglion hemorrhage underwent minimally invasive drainage were divided into Group A (<6 h,n=55) and Group B (6-48 h,n=52) according to the operation time. Glasgow outcome scale (GOS), Modified Rankin Scale (MRS) and the changes of postoperative cerebral hematoma were compared between the two groups. Results: MRS and GOS in group A were significantly better than those in the group B (both P<0.05). The change of postoperative cerebral hematoma was no statistically significant between the two groups(P>0.05). Conclusions: It is an effective procedure for patients with basal ganglion hemorrhage treated by Ultra-early minimally invasive drainage and is helpful to improve the nerve function and life quality.%目的:总结超早期微创穿刺引流术治疗基底节区脑出血临床疗效。方法:将2011年2月-2014年8月确诊为基底节区脑出血行微创穿刺引流术治疗的107例按发病至手术时间分为两组,A 组(n=55)发病至手术时间<6 h,B 组(n=52)发病至手术时间为6-48 h;比较两组患者出院 GOS 结局评分(GOS)、3个月随访的改良Rankin 评分(MRS)和术后脑血肿量变化。结果:A 组 Mares 和 GOS 评分均明显优于 B 组(P<0.05);两组术后脑血肿量变化无明显差异(P>0.05)。结论:超早期微创穿刺引流术治疗基底节区脑出血的疗效好,有助于改善患者神经功能及生活能力。

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