临床神经外科杂志2018，Vol.15Issue(1)：38-41,45,5.DOI:10.3969/j.issn.1672-7770.2018.01.009
立体定向微创钻孔引流与保守治疗未昏迷的基底节区出血患者的疗效对比
Comparative study on stereotactic microimpact burr-hole drainage and conservative treatment for conscious patients of hypertensive cerebral hemorrhage in basal ganglia area
摘要
Abstract
Object To study the therapeutic effects of stereotactic microimpact burr-hole drainage and conservative treatment for conscious patients of hypertensive cerebral hemorrhage in basal ganglia area.Methods The clinical data of 116 conscious patients with hypertensive cerebral hemorrhage in basal ganglia area from October 2013 to October 2016 were analyed retrospectively.Of 116 patients,74 were treated with stereotactic microimpact burr-hole drainage with instillation of urokinase,and 42 received conservation treatment.compared between the two groups of the prognosis effect and 6 months follow-up recovery.Results In stereotactic group,the dissipation time of hematoma was significantly shorter(P <0.05).14 days of limb muscle recovery and 90 days Glasgow outcome scale score were significantly better than that of the conservative treatment group (all P<0.05).Conclusion The therapeultic effect of stereotactic microimpact burr-hole drainage was significantly superior to the conservative treatment in conscious patients of hypertensive cerebral hemorrhage in basal ganglia area.It improves limb muscle recovery and worthy of clinical use.关键词
高血压脑出血/未昏迷/基底节区/立体定向手术治疗/内科保守治疗Key words
hypertensive cerebral hemorrhage/not in a coma/basal ganglia area/stereotactic surgery/conservative treatment分类
医药卫生引用本文复制引用
刘海兵,魏梁锋,赵琳,王守森,洪景芳..立体定向微创钻孔引流与保守治疗未昏迷的基底节区出血患者的疗效对比[J].临床神经外科杂志,2018,15(1):38-41,45,5.基金项目
福州总医院临床应用研究专项(2016L16) （2016L16）
