临床神经外科杂志2017，Vol.14Issue(3)：235-237,240,4.DOI:10.3969/j.issn.1672-7770.2017.03.019
不同手术方式治疗高血压基底节区出血对比研究
Comparative study on different neurosurgical procedures for hypertensive basal ganglia hemorrhage
刘保华 1熊方令 1高明明 1袁璞 1张怀兵 1朱宗锦 1聂文臣 1蔡旺1
作者信息
- 1. 223800 宿迁,南京鼓楼医院集团宿迁市人民医院神经外科
- 折叠
摘要
Abstract
Objective To investigate the three neurosurgical procedures for the hypertensive basal ganglia hemorrhage and select a proper surgical treatment for individual.Methods The clinical data of 457 patents with hypertensive basal ganglia hemorrhage from January 2007 to November 2015,treated by neurosurgical procedures,were reviewed retrospectively.The comparison of intracranial pressure,occurrence of complications and neurological outcome in the three groups who were treated by conventional open craniotomy (COC),small craniotomy (SC) and skull puncture and drainage (SPD) were performed.Results The values of intracranial pressure were lower in the group of COC than that of SC after 24 hours post operation.The incidence of pulmonary infection,incision of tracheal and abdominal distension in the group of COC was lower than that of SC and SPD.And there were no difference between the three groups in the incidence of alimentary tract hemorrhage.Moreover,the incidence of postoperative re-bleeding and mortality were higher in SPD group,in comparison with COC and SC group.There was no significant difference in mortality between the COC and SC groups.The well rate in the COC group is better than that of SC group and SPD group.Conclusion Different neurosurgical procedures have different indications.The neurosurgery through the individualized approach and microneurosurgical technique may decrease the complications and mortality and improve prognosis in the patient with hypertensive basal ganglia hemorrhage.关键词
高血压基底节区出血/神经外科手术/疗效Key words
hypertensive basal ganglia hemorrhage/neurosurgical procedure/outcome分类
医药卫生引用本文复制引用
刘保华,熊方令,高明明,袁璞,张怀兵,朱宗锦,聂文臣,蔡旺..不同手术方式治疗高血压基底节区出血对比研究[J].临床神经外科杂志,2017,14(3):235-237,240,4.
