超声辅助脑沟入路显微手术治疗高血压脑出血53例临床分析

目的探讨超声辅助脑沟入路微创手术治疗高血压脑出血的临床应用价值。方法选择高血压脑出血患者53例为观察组,采用小骨窗微创手术,术中实时超声辅助观察手术是否干净;同期随机抽取采用常规显微手术治疗的高血压脑出血患者65例作为对照组。术后对2组血肿清除、病死率、日常生活能力等进行评价。结果与对照组比较,观察组患者术后颅内高压症状减轻更明显,血肿清除量80%所占比例更多(P0.05)。观察组患者恢复良好为67.92%,显著高于对照组的50.77%(P0.05)。2组病死率比较,差异无统计学意义(P0.05)。结论超声辅助脑沟入路显微手术治疗高血压脑出血,特别是血肿散在患者,术后恢复快,并发症少,具有良好的应用前景。

Microneurosurgery treatment of hypertensive cerebral hemorrhage via anfractuosity approach assisted by ultrasonic guide in 53 cases

Objective To investigate the clinical value of microneurosurgery treatment of hypertensive cerebral hemorrhage via anfractuosity approach assisted by ultrasonic neuronavigation-guide. Methods Fifty-three patients with hypertensive cerebral hemorrhage as observing group were operated at early stage with the support of ultrasonic imaging via anfractuosity approach,other sixty-five patients underwent conventional microneurosurgery to remove hemorrhage as control group.The results of the two methods were evaluated according to complication,fatality,activity of daily living.Results Intracranial hypertension was relieved in all cases.The number of patients with 80% hemorrhage elimination was forty-seven(88.68%) in observing group,which was better than control group(70.77%).The rate of good recovery in the two groups were 67.92% and 50.77%,respectively.The difference of fatality had no statistical significance.Conclusion Microneurosurgery treatment of hypertensive cerebral hemorrhage via anfractuosity approach assisted by ultrasonic neuronavigation-guide had the character of convenience and precise,especially for scattered hemorrhage,and had favorable application perspective.