微创钻孔软通道引流术治疗高血压脑出血患者的效果分析OA
Analysis of the Effect of Minimally Invasive Drilling Soft Channel Drainage in the Treatment of Patients with Hypertensive Intracerebral Hemorrhage
目的:分析微创钻孔软通道引流术对高血压脑出血(HCH)患者的临床疗效.方法:回顾性分析2022年7月—2024年 7月赣南医科大学第二附属医院收治的 120例HCH患者的病例资料,按治疗方法的不同将其分为对照组与研究组,各60例.对照组行开颅血肿清除术,研究组行微创钻孔软通道引流术.两组均术后随访3个月.比较两组神经功能、血肿清除率、日常生活能力、生活质量及并发症发生情况.结果:术后 3个月,两组美国国立卫生研究院卒中量表评分均较术前降低,且研究组较对照组低,差异均有统计学意义(P<0.05).术后 1 d,研究组血肿清除率低于对照组低,差异有统计学意义(P<0.05);术后 3 d,两组血肿清除率对比,差异无统计学意义(P>0.05).术后 3个月,两组日常生活能力量表、生活质量综合评定问卷-74评分均比术前高,且研究组均较对照组更高,差异均有统计学意义(P<0.05).研究组并发症发生率为8.33%,低于对照组的 21.67%,差异无统计学意义(P>0.05).结论:微创钻孔软通道引流术治疗HCH患者,可有效清除血肿并改善其神经功能、提升生活能力及生活质量,且具有良好安全性.
Objective:To analyze the clinical efficacy of minimally invasive drilling soft channel drainage in patients with hypertensive intracerebral hemorrhage(HCH).Methods:A retrospective analysis was conducted on the data of 120 patients with HCH admitted to the Second Affiliated Hospital of Gannan Medical University from July 2022 to July 2024.They were divided into a control group and a study group according to different treatment methods,with 60 cases in each group.The control group underwent craniotomy for hematoma evacuation,while the study group underwent minimally invasive drilling soft channel drainage.Both groups were followed up for 3 months after surgery.The neurological function,hematoma clearance rate,daily living ability,quality of life and the occurrence of complications were compared between the two groups.Results:Three months after the operation,the scores of the National Institutes of Health Stroke Scale in both groups were lower than those before the operation,the study group were lower than the control group,the differences were statistically significant(P<0.05).One day after the operation,the hematoma clearance rate in the study group was lower than that in the control group,the difference was statistically significant(P<0.05);three days after the operation,there was no statistically significant difference in the hematoma clearance rate between the two groups(P>0.05).Three months after the operation,the scores of the Activities of Daily Living Scale and the Generic Quality of Life Inventory-74 in both groups were higher than those before the operation,and the study group were higher than the control group,the differences were statistically significant(P<0.05).The incidence of complications in the study group was 8.33%,which was lower than 21.67%in the control group,the difference was not statistically significant(P>0.05).Conclusion:Minimally invasive drilling and soft-channel drainage surgery for patients with HCH can effectively remove hematoma,improve their neurological function,enhance their ability to live and quality of life,and has good safety.enhance quality of life,and has good safety.
郭吉林;杨鑫;凌正辉
赣南医科大学第二附属医院神经外科,江西 赣州 341000赣南医科大学第二附属医院神经外科,江西 赣州 341000赣南医科大学第二附属医院神经外科,江西 赣州 341000
医药卫生
高血压脑出血微创钻孔软通道引流术血肿清除率并发症
Hypertensive cerebral hemorrhageMinimally invasive drilling soft channel drainageHematoma clearance rateComplications
《中国伤残医学》 2025 (10)
14-18,5
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