微创穿刺引流术在基底节区脑出血中的应用体会

doi:j.issn.1009-976X.2015.01.018

岭南现代临床外科 ›› 2015, Vol. 15 ›› Issue (01): 71-73.DOI: j.issn.1009-976X.2015.01.018

微创穿刺引流术在基底节区脑出血中的应用体会

陈雪江

深圳市光明新区人民医院神经外科

通讯作者: 陈雪江

The application of minimally invasive puncture drainage in the basal ganglia hemorrhage

Chen Xuejiang

Received:2015-01-06 Revised:2015-01-30 Online:2015-02-20 Published:2015-04-20

摘要/Abstract

摘要： 【摘要】〓目的〓对基底节区脑出血的患者采用微创穿刺血肿引流术进行治疗,观察临床效果和应用体会。方法〓根据或者接受的手术方式不同分为两组,开颅组给予去骨瓣开颅血肿清除术进行治疗(n=46);微创组采用微创穿刺血肿引流术进行治疗(n=50),对比观察两组的手术持续时间、术前术后血清白细胞介素6(IL-6)、超敏c反应蛋白(Hs-CRP)、神经元特异性烯醇化酶(NSE)水平、术后l周Glasgow评分、术后1个月的NIHSS评分和生存质量。结果〓微创组手术持续时间比开颅组短,治疗1W后的GCS评分高于开颅组,血清IL-6、Hs-CRP和NSE水平低于开颅组,治疗1个月后的NIHSS评分低于开颅组,WHOQOL-BREF得分高于对照组,差异有统计学意义。结论〓采用微创穿刺血肿引流术治疗基底节区脑出血,手术持续时间短,有效可降低血清炎症和NSE水平,术后恢复快,患者生存质量高。

关键词: 基底节, 脑出血, 微创穿刺血肿引流术

Abstract: 【Abstract】〓Objective〓To introduce our experience in minimally invasive puncture hematoma drainage in basal ganglia hemorrhage. Methods〓The patients with basal ganglia hemorrhage were divided into two groups according to the surgical approach, the control group (n=46) and observation group (n=50). The former was given to bone flap craniotomy hematoma removal treatment, and the latter was treated with minimally invasive puncture hematoma drainage. The operation duration, Glasgow score and serum levels of IL-6 and Hs-CRP and neuron-specific enolase (NSE),NIHSS score and life quality were compared between two groups. Results〓Compared with the control group, the operation duration of observation group was shorter, the GCS score in one week after treatment was higher. The serum levels of IL-6, Hs CRP and NSE and NIHSS score in one month after treatment were lower in observation group than those in control group. The WHOQOL BREF scoring in observation group was higher than that in control group. Conclusion〓Minimally invasive puncture hematoma drainage technique has an advantage of open operation.

Key words: Basal ganglia, Cerebral hemorrhage, Minimally invasive puncture hematoma drainage

中图分类号:

R651.1

陈雪江. 微创穿刺引流术在基底节区脑出血中的应用体会[J]. 岭南现代临床外科, 2015, 15(01): 71-73.

Chen Xuejiang. The application of minimally invasive puncture drainage in the basal ganglia hemorrhage[J]. Lingnan Modern Clinics in Surgery, 2015, 15(01): 71-73.

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微创穿刺引流术在基底节区脑出血中的应用体会

The application of minimally invasive puncture drainage in the basal ganglia hemorrhage

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