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立体定向脑内血肿穿刺术治疗颅内血肿的临床效果

魏守元 彭明友 刘龙生

中国医学创新2025,Vol.22Issue(20):20-23,4.
中国医学创新2025,Vol.22Issue(20):20-23,4.DOI:10.3969/j.issn.1674-4985.2025.20.005

立体定向脑内血肿穿刺术治疗颅内血肿的临床效果

Clinical Effect of Stereotactic Intracranial Hematoma Puncture in the Treatment of Intracranial Hematoma

魏守元 1彭明友 1刘龙生1

作者信息

  • 1. 黔西南州人民医院神经外科 贵州 兴义 562499
  • 折叠

摘要

Abstract

Objective:To study the clinical effect of stereotactic intracranial hematoma puncture in patients with intracranial hematoma and its influence on neurological function,inflammatory indicators and complications.Method:The research method was a retrospective analysis.The research subjects were 84 patients with intracranial hematoma admitted to Qianxinan People's Hospital from January to December 2024.According to different surgical plans,the patients were divided into two groups.The study group was treated with stereotactic intracranial hematoma puncture,and the control group was treated with conventional localization intracerebral hematoma puncture.The hematoma clearance effect,neurological function,inflammatory indicators and the incidence of complications were compared between the two groups.Result:One week after the surgery,the hematoma volume in the study group was smaller than that in the control group,the hematoma clearance time was shorter than that in the control group,and the first hematoma clearance volume was greater than that in the control group(P<0.05).One month after the surgery,the NIHSS score of the study group was lower than that of the control group(P<0.05).One week after the surgery,the levels of TNF-α,IL-18 and hs-CRP in the study group were lower than those in the control group,and the level of IL-10 was higher than that in the control group(P<0.05).The total incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion:Stereotactic intracranial hematoma puncture can effectively improve the clearance effect of intracranial hematoma,promote the recovery of neurological function in patients,reduce inflammatory response,and reduce the risk of complications.

关键词

立体定向脑内血肿穿刺术/颅内血肿/神经功能/炎症指标/血肿清除

Key words

Stereotactic intracranial hematoma puncture/Intracranial hematoma/Neurological function/Inflammation indicators/Hematoma clearance

引用本文复制引用

魏守元,彭明友,刘龙生..立体定向脑内血肿穿刺术治疗颅内血肿的临床效果[J].中国医学创新,2025,22(20):20-23,4.

中国医学创新

1674-4985

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