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Effects of different minimally invasive drilling and drainage positions on hematoma clearance, quality of life, and risk of complications in patients with hypertensive intracerebral hemorrhage in the basal ganglia
Author(s): 
Pages: 536-539
Year: Issue:  6
Journal: Journal of International Neurology and Neurosurgery

Keyword:  Hypertensive intracerebral hemorrhage in the basal gangliaMinimally invasiveHematoma clearanceComplication;
Abstract: 目的 研究微创钻孔的不同引流位置对基底节区高血压性脑出血患者血肿清除量、生活质量及并发症发生风险的影响.方法 选取2013 ~2016年于我院治疗的108例基底节区高血压性脑出血患者作为研究对象.根据治疗方法分为额部组(n=48)和颞部组(n=60例),所有患者术前均行常规血压监测并检查凝血项,并行颅脑CT检查.比较两组患者术后血肿残余量、血肿清除完成时间、意识障碍恢复时间、再出血发生情况并发症发生率及术后2个月的日常生活能力(ADL)评分.结果 额部组患者术后3d血肿残余量、血肿清除完成时间分别为(23.2±4.8)ml、(12.2±1.5)d,颞部组分别为(26.7±5.8)ml、(13.8±1.8)d,差异有统计学意义(P<0.05).额部与颞部组在术后7d血肿残余量、意识障碍恢复时间、再出血发生状况、住院天数两方面差异不具有显著性(P>0.05).额部组并发症发生率为10.4%,颞部组为11.7%,差异无统计学意义(P>0.05).额部组与颞部组术后ADL评分分别为(55.1±17.3)分和(53.4±11.9)分,差异无统计学意义(P>0.05).结论 基底节区高血压性脑出血患者的微创钻孔引流位置不同对于患者早期的血肿清除有差异,穿刺方向与基底节血肿之长轴相平行的额部组的血肿清除更为干净,在并发症发生率及患者生活质量方面并无影响.
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