|
|
|
| Comparison of the Effect of Microscopic Surgery on HICH Under Different Approaches |
| Zu Xiangyang |
| Department of Neurosurgery,Third Affiliated Hospital of Xinxiang Medical College,Xinxiang 53000,China |
|
|
|
|
Abstract Objective To explore the effect of microscopic surgery for HICH under different approaches. Methods 92 patients with HICH were randomly divided into control group（n=46,treated with transtemporal cortex microscopic hematoma removal）and observation group（n=46,treated with microscopic cerebral hematoma removal via lateral fissure approach）.The operation conditions（operation time,postoperative awake time,intraoperative blood loss）were compared between the two groups,the hematoma clearance rate between the two groups was compared,and the brain tissue injury related indexes（S100β,NSE,IL-6）were compared before and 7 days after the operation.The state of consciousness and rehabilitation（GCS,CRS-R）and the incidence of complications in the two groups14 days after operation were compared. Results The operation time and postoperative wake-up time of the observation group were significantly shorter than those of the control group（P<0.05）,the intraoperative blood loss in the observation group was significantly lower than that of the control group（P<0.05）,and the hematoma clearance rate in the observation group was significantly higher than that of the control group（P<0.05）.At 7 days postoperatively,the S100β,NSE,and IL-6 of the two groups were significantly reduced,and the observation group was significantly lower than that of the control group（P<0.05）,the GCS and CRS-R scores of the two groups were significantly higher than those before the operation,and the observation group was significantly higher than the control group（P<0.05）.At 14 days postoperatively,there was no significant difference in the incidence of complications between the two groups（P>0.05）. Conclusion Transfission approach microscopy surgery has a significant effect in the treatment of HICH.Compared with traditional percutaneous approach surgery,it has more advantages in hematoma removal,and the operation method is simple,causing less brain tissue damage to the patient,which is more conducive to the prognosis and recovery of the patient.
|
|
Received: 28 December 2020
|
|
|
|
|
|
[1] 卢佩林,刘晓红,姜绪涛,等.中等出血量的高血压性基底节区脑出血的显微外科治疗体会[J].中华神经医学杂志,2020,19(2):188-190.
[2] 宋志富,吴文友,庞国银,等.颅内血肿穿刺术与内科保守治疗基底节区高血压性脑出血临界血肿疗效的荟萃分析[J].四川医学,2020,41(3):303-307.
[3] 隋宇玲. 外侧裂入路手术治疗基底节区高血压脑出血的疗效分析[J].临床外科杂志,2020,28(2):138-140.
[4] 关毅,任振强,谭少允.经外侧裂入路显微血肿清除术治疗基底节区高血压脑出血的临床效果[J].河南医学研究,2020,29(2):262-264.
[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):435-444.
[6] 彭娟,周宏珍,史蕾,等.两种意识评估量表应用于神经外科患者中的信度和效度比较研究[J].中国实用护理杂志,2015,(35):2672-2675.
[7] 张瑛,何敏慧,赵发林,等.中文版CRS-R量表的信效度研究[J].护理与康复,2013,12(8):715-717.
[8] 高志波,孙鹏举,李琦,等.经脑沟裂手术与传统手术治疗优势半球高血压基底节脑出血患者术后语言功能恢复的对比研究[J].中华解剖与临床杂志,2020,25(4):406-410.
[9] 孙青,刘永春,尤万春,等.经外侧裂-岛叶入路手术治疗高血压性基底节区出血的疗效分析[J].中国临床神经外科杂志,2019,24(1):16-18.
[10] 李宪锋. 外侧裂入路手术对基底节区HICH患者的临床效果及方法分析[J].重庆医学,2017,46(19):2649-2651.
[11] 汤汉心,林喜容,陈锦镜.经外侧裂-岛叶入路显微手术治疗基底节区脑出血的临床效果及其对神经因子的影响[J].临床外科杂志,2019,27(10):892-894. |
|
|
|
2022, Vol. 42 
