立体定向锥颅颅内血肿穿刺软通道引流术与骨瓣减压颅内血肿清除术治疗脑出血的效果比较

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Abstract Objective To compare the effect of stereotactic cone puncture and soft channel drainage of intracranial hematoma surgery and bone flap decompression and removal of intracranial hematoma surgery in the treatment of cerebral hemorrhage(ICH).Methods A total of 82 patients with ICH in Nanchang 334 Hospital from September 2017 to August 2020 were selected as subjects and divided into the study group and the control group according to random number table method,with 41 cases in each group.The control group was given bone flap decompression and removal of intracranial hematoma surgery,and the study group was given stereotactic cone puncture and soft channel drainage of intracranial hematoma surgery.The rebleeding situation and Glasgow outcome scale score(GOS)grading of the two groups of patients 72 hours after surgery,National Institutes of Health stroke scale(NIHSS)score and residual hematoma volume before and 72 h after surgery were compared.Results The total excellent and good rate of 72 h GOS grading in the study group was higher than that of the control group,and the rebleeding rate at 72 h after the surgery was lower than that of the control group,and the differences were statistically significant(P<0.05).The volume of residual hematoma in the study group was smaller than that in the control group at 72 hours after surgery,and the difference was statistically significant(P<0.05).The NIHSS score of the study group was lower than that of the control group at 72 h after surgery,and the difference was statistically significant(P<0.05).Conclusion Stereotactic cone puncture and soft channel drainage of intracranial hematoma surgery can significantly improve the nerve function and rebleeding of ICH patients,eliminate residual hematoma,and help patients recover.

Key words： Cerebral hemorrhage Stereotactic cone puncture and soft channel drainage of intracranial hematoma surgery Bone flap decompression and removal of intracranial hematoma suegery Nerve function

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LUO Yun-hui. Effect comparison of the stereotactic cone puncture and soft channel drainage of intracranial hematoma surgery and bone flap decompression and removal of intracranial hematoma suegery in the treatment of cerebral hemorrhage[J]. 中国当代医药, 2021, 28(22): 83-85.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I22/83

[1]	郑玺，孙敦鑫，殷捷.两种不同手术方式治疗对高血压基底节区脑出血患者围术期指标ADL 评分及术后并发症的影响[J].河北医学，2019，25（3）：618-623.
[2]	崔永华，夏咏本，朱晓文，等.小骨窗开颅经侧裂下Rolandic点-岛叶入路与颞叶皮层入路治疗高血压性基底节区后部脑出血的对照研究[J].重庆医学，2019，48（5）：78-81.
[3]	沈育，徐春林，程小志，等.钻孔引流术与骨瓣开颅血肿清除联合去骨瓣减压术治疗阿司匹林相关幕上脑出血的疗效对比研究[J].河北医学，2019，25（11）：1880-1884.
[4]	Mao Y，Shen Z，Zhu H，et al.Observation on therapeutic effect of stereotactic soft channel puncture and drainage on hypertensive cerebral hemorrhage[J].Ann Palliat Med，2020，9（2）：23-24.
[5]	中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南（2014）[J].中华神经科杂志，2015，48（6）：435-442.
[6]	Wright J.Glasgow Outcome Scale[M].New York：Springer New York，2018：124-130.
[7]	Kwah LK，Diong J.National Institutes of Health Stroke Scale（NIHSS）[J].J Physiother，2014，60（1）：61.
[8]	贾叶华，张宏义，徐晋珩，等.非高血压性脑出血患者血浆B 型脑钠肽与血清淀粉样蛋白A 水平及与病情严重程度相关性研究[J].临床军医杂志，2020，48（4）：108-109.
[9]	王忠，张瑞剑，韩志桐，等.持续颅内压监测在重度颅脑损伤及脑出血合并脑疝患者标准大骨瓣减压术及显微血肿清除术后的应用[J].中国医药导报，2020，17（5）：75-78，82.
[10]	李少泉，彭文龙，张维，等.微创颅内血肿清除术联合术后尿激酶溶解治疗基底核区高血压脑出血的效果及对神经功能、预后的影响研究[J].解放军医药杂志，2020，32（11）：95-99.
[11]	朱勇军，侯德文，卓开全.锥颅置管颅内血肿清除术与传统大骨瓣开颅治疗高血压脑出血的疗效对比[J].中国煤炭工业医学杂志，2019，22（5）：27-30.
[12]	李志勇.改良立体定向软通道微创穿刺引流术对高血压壳核脑出血术后神经功能及日常生活能力的影响[J].中西医结合心脑血管病杂志，2020，18（3）：508-511.
[13]	李燕，熊志伟.Dickkopf-1、LINGO-1、caveolin-1 在脑出血中的表达水平变化及其与病情严重程度的关系[J].卒中与神经疾病，2020，27（3）：332-335.
[14]	毛锦龙，徐如祥，沈春森，等.新型国产16 层移动CT 辅助体表定位法徒手锥颅穿刺引流治疗幕上深部脑出血的实用性及置管准确度评估[J].中华神经医学杂志，2020，19（9）：941-946.
[15]	王俊峰，杨巍.改良立体定向软通道微创颅内血肿清除术治疗高血压脑出血的疗效[J].安徽医学，2019，40（8）：54-56.