中国现代神经疾病杂志 ›› 2013, Vol. 13 ›› Issue (8): 726-729. doi: 10.3969/j.issn.1672-6731.2013.08.015

• 临床研究 • 上一篇    下一篇

2 经额钻孔引流术治疗基底节中等量出血的疗效分析

卓杰, 刘春生, 杨玉山, 亢建民   

  1. 300060 天津市环湖医院神经外科
  • 出版日期:2013-08-25 发布日期:2013-08-04
  • 通讯作者: 卓杰 (Email:jiezhuo720203@gmail.com)

A study of the therapeutic effect of transfrontal craniopuncture and drainage in treating moderate basal ganglia hemorrhage

ZHUO Jie, LIU Chun-sheng, YANG Yu-shan, KANG Jian-min   

  1. Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300060, China
  • Online:2013-08-25 Published:2013-08-04
  • Contact: ZHUO Jie (Email: jiezhuo720203@gmail.com)

摘要: 共198 例基底节中等量(30 ~ 60 ml)出血患者,均于发病7 d 内在局部麻醉下行经额钻孔血肿引流术,2 例死亡、5 例持续植物状态生存,其余191 例随访6 个月时预后达中度依赖、轻度依赖和完全独立者171 例,治疗总有效率约为86.36%(171/198)。提示经额钻孔引流术治疗基底节中等量出血安全可靠、疗效显著。

关键词: 颅内出血, 高血压性, 基底神经节, 引流术

Abstract: In this study, 198 patients with moderate basal ganglia hemorrhage (30-60 ml) were treated with craniopuncture and drainage through frontal approach within 7 d after onset. Conventional symptomatic treatment was adopted after the operation. Two patients died and 5 were in persistent vegetative state [Glasgow Outcome Scale (GOS) Ⅱ]. All survivals were followed up for 6 months after operation, and 171 patients achieved good results [Activity of Daily Living Scale (ADL) and Barthel Index (BI) of moderate, mild dependence or complete independence]. The total efficiency was 86.36%(171/198). Transfrontal craniopuncture and drainage is a safe and effective method for the treatment of moderate basal ganglia hemorrhage.

Key words: Intracranial hemorrhage, hypertensive, Basal ganglia, Drainage