摘要
Abstract
Objective To compare and analyze the effect and the complications of mini-invasive puncture and decom-pressive craniectomy in treatment of hypertensive basal ganglia hemorrhage. Methods A total of 120 patients with basal ganglid hemorrhage of this hospital from October 2011 to October 2013 were randomly divided into the mini-invasive puncture group (60 cases) and the decompressive craniectomy group(60 cases). The effect and the complications of the two groups were compared and analyzed. Results Compared to pre-operation,the patients′NIHSS socres of the two groups after the operation decreased,which had statistical significance in difference(P<0.01). Compared with the decompressive craniectomy group,it was shorter in average hospitalization time,higher in overall effectiveness,and lower in fatality rate for the patients in the mini-invasive puncture group (P<0.05). At the time of treatment for 3 months,the proportion of those the ADL self-care level reached good conditions in the mini-invasive puncture group was higher than that in the decompressive craniectomy group (P<0.05). Referred to complications,the occurrence of secondary epilepsy and recurrent postoperative hemorrhage in the mini-invasive puncture group was lower than that in the decompressive craniectomy group(P<0.05). There were no statistical significant difference in pulmonary infection,renal fail-ure,multiple organ failure,upper gastrointest bleeding,cerebrocardiac syndrome,water-electrolyte disturbances(P>0.05). Conclu-sion The mini-invasive puncture treatment is superior than decompressive craniectomy in treatment of hypertensive basal gan-glia hemorrhage in clinic effect. It shall be available to reduce fatality rate by strengthening the prevention of complications.关键词
高血压/脑出血/基底神经节疾病/穿刺术/外科手术,微创性/死亡原因/预后/去骨瓣减压术Key words
Hypertension/Cerebral hemorrhage/Basal ganglia diseases/Punctures/Surgical procedures,mini-mally invasive/Cause of the death/Prognosis/Decompressive craniectomy
