三种不同方式治疗高血压性基底节区脑出血的回顾性临床研究

目的探讨神经内镜和微骨窗入路血肿清除术及保守治疗在基底节区高血压性脑出血治疗中的效果及预后,以期更好的为临床治疗提供参考。方法回顾分析72例高血压性基底节区脑出血病例,其中神经内镜治疗22例,微骨窗入路开颅手术治疗25例,保守治疗25例,比较手术血肿清除率、住院期间并发症发生率、住院好转天数、住院期间死亡率及远期疗效。结果三组在血肿清除率、住院期间并发症发生率方面差异有统计学意义;而远期疗效、住院期间死亡率上相比,三组无显著统计学差异。结论神经内镜手术治疗高血压性基底节区脑出血优于微骨窗入路血肿清除术和保守治疗,是一种损伤轻、疗效好的微创治疗方法。

A retrospective-analysis of three different therapy for hypertensive cerebral hematomas in basal ganglia region

Objective To study the therapeutic effects and prognosis for hypertensive intracerebral hematomas in basal ganglia region through three different approaches.Methods The clinical data of 72 patients with cerebral hematomas in basal ganglia region were analyzed retrospectively.Neuroendoscopy was applied to treat 22 cases, 25 cases were treated by key-hole approach and conservative treatment in 25 cases.These patients were evaluated by the ratio of hematomas clearance、complication and mortality at the time of hospitalization,improvement and long-term curative effect also involved.Results There were statistical significance in hematoma clearance rate and the incidence of complications during hospitalization among the three groups, but there was no statistically significant difference among the three groups for long-term outcomes or mortality during hospitalization.Conclusion Compared with key-hole approach and conservative treatment, neuro-endoscopy approach for hypertensive intracerebral hematomas in the basal ganglia region is a kind ofminimally invasive method with less damage,better effects prognosis.