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高血压基底节出血破入脑室的两种微创术式疗效分析

杨灵 卢家璋 林宽 谢才兰 刘海生 陈均昌

国际医药卫生导报2009,Vol.15Issue(23):18-20,3.
国际医药卫生导报2009,Vol.15Issue(23):18-20,3.DOI:10.3760/cma.j.issn.1007-1245.2009.23.006

高血压基底节出血破入脑室的两种微创术式疗效分析

Comparison of the curative effect between two kinds of minimally invasive surgical treatment of hypertensive basal ganglia hemorrhage rupturing into the ventricles of the brain

杨灵 1卢家璋 1林宽 1谢才兰 1刘海生 1陈均昌1

作者信息

  • 1. 528415,中山市陈星海医院神经外科
  • 折叠

摘要

Abstract

Objective To explore the clinical effects of two kinds for puncture and drainage hypertensive basal ganglia hemorrhage rupturing into the ventricles,which were the small bone window craniotomy with ventricle puncture and then drainage,and the method of YL-I-type needle aspiration with intraventricularhematoma puncture and then broken-Methods 86 cases of patients with hypertensive hasal ganglia hemorrhage rupturing into the ventriclesof the brain were divided into two groups according to GCS score,The clinical data of two groups of patients were retrospectively analyzed using two kinds of different surgical methocls.Resuhs Among the 40 cases of patients with CCS 8-12 points,some one in the group using YL-I type hematoma puncture and broken suction surgery, prognnsis were better than the one in the group using the surgery of a small bone window craniotoniy,the difference was significant (P<0.05).Among the 46 cases with GCS5-7 points,except the time of operation and bleeding in the operation, there was no significant difference on the curative effect of the operation,pmgrreisbut.Concliusions CCS score should be used as an important indicator as the choice for the treatment of the patients Hypertensive basal ganglia bemonhagenipturing into the ventricles. When the GCS was ≥ 8,it had a good effect to use the YL-I-type needle puncture hematoma broken suction + ventricle puncture drainage.

关键词

基底节出血/脑室引流/小骨窗开颅/血肿碎吸术

Key words

Basal ganglia hemorrhage/Ventricular drainage/Small bone window craniotomy/Hematoma aspiration in

引用本文复制引用

杨灵,卢家璋,林宽,谢才兰,刘海生,陈均昌..高血压基底节出血破入脑室的两种微创术式疗效分析[J].国际医药卫生导报,2009,15(23):18-20,3.

国际医药卫生导报

1007-1245

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