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Effects of three different surgical procedures on long-term neurological function and intracranial infection in patients with basal ganglia hemorrhage: a comparative study
Author(s): 
Pages: 526-530
Year: Issue:  6
Journal: Journal of International Neurology and Neurosurgery

Keyword:  Small bone window craniotomyPercutaneous drainageDecompressive craniectomyLong-term neurological functionIntracranial infection;
Abstract: 目的 探讨小骨窗手术、翼点入路经侧裂显微手术血肿清除+去骨瓣减压术及穿刺引流术对基底节脑出血患者长期神经功能及颅内感染的影响.方法 将87例基底节脑出血患者按照随机数字表的顺序分为小骨窗显微血肿清除术组(A组)、穿刺引流术组(B组)及翼点入路经侧裂显微手术血肿清除+去骨瓣减压手术(C组),分析三组患者长期神经功能、颅内感染情况.结果 B组GOS评分显著高于A组(t值5.14,6.33,P<0.05).B组、C组血肿清除率显著高于A组(t=7.90,P<0.05).B组、C组改良Rankin评分、Barthel评分显著高于A组(t=2.69、3.01、3.47、5.52,P<0.05).各组颅内感染率无显著性差异(P>0.05).结论 穿刺引流术、翼点入路经侧裂显微手术血肿清除+去骨瓣减压术治疗基底节脑出血的长期神经功能改善方面优于小骨窗微创手术,但术后颅内感染率无显著性差异.
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