《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (11): 1056-1057.

• 临床研究 • 上一篇    下一篇

立体定向术治疗基底节区高血压脑出血

陈宝友;商崇智   

  1. 武警医学院附属医院脑系科中心，天津市 300162
  • 收稿日期:2009-09-07 出版日期:2009-11-01 发布日期:2009-11-01

Stereotactic Technique for Hypertensive Basal Ganglion Hemorrhage

CHEN Bao-you,SHANG Chong-zhi   

  1. Center of Neurosurgery, Medical College of the People's Armed Police Force, Tianjin 300162, China
  • Received:2009-09-07 Published:2009-11-01 Online:2009-11-01

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被引次数

2

摘要： 目的 研究立体定向术治疗基底节区高血压脑出血的临床疗效。方法 160例基底节区高血压脑出血患者按是否同意手术分成2组:手术组132例，保守组28例；手术组行立体定向手术治疗，保守组常规治疗；入院时、第2周、第4周进行临床神经功能缺损评分；比较两组再出血发生率。结果 手术组及保守组入院时临床神经功能缺损评分分别为（33.90±3.54）、（33.61±3.82）(P＞0.05)；第2周、第4周评分分别为（20.89±3.10）、（26.18±3.61），（10.28±2.01）、（15.68±3.28）(均P＜0.01)；两组再出血发生率分别为6.1%、10.7%(P﹥0.05)。结论 立体定向术治疗基底节区高血压脑出血神经功能恢复快，安全性高。

关键词: 立体定向术, 脑出血, 基底节, 临床神经功能缺损评分

Abstract: Objective To study the effects of stereotactic technique on hypertensive basal ganglion hemorrhage. Methods 160 patients with hypertensive basal ganglion hemorrhage were divided into 2 groups: surgical group （132 cases）and conservative group （28 cases）. They were assessed with clinical neurologic impairment scale before and 2 weeks and 4 weeks after treatment. The incidence of rehemorrhage was compared. Results The neurologic impairment scores in surgical group and conservative group were (33.90±3.54) and (33.61±3.82) before treatment (P>0.05), (20.89±3.10) and (26.18±3.61) 2 weeks after treatment (P<0.01), (10.28±2.01) and (15.68±3.28) 4 weeks after treatment (P<0.01), respectively. The incidence of rehemorrhage in surgical group and conservative group were 6.1% and 10.7% (P>0.05), respectively. Conclusion The stereotactic technique may recover neurological function much faster.

Key words: stereotactic technique, intracerebral hemorrhage, basal ganglion, clinical neurologic impairment scale