【摘要】：目的探討立體定向血腫抽吸置管引流術(shù)治療基底核區(qū)高血壓性腦出血的手術(shù)時(shí)機(jī)。方法 2003年1月~2016年1月我科采用立體定向手術(shù)治療基底核區(qū)高血壓腦出血135例,根據(jù)發(fā)病后手術(shù)時(shí)間不同分為超早期組(≤7 h)45例,早期組(7~24 h)45例,延期組(24~72 h)45例,比較3組術(shù)后血腫清除時(shí)間,30 d病死率,30 d患側(cè)肢體運(yùn)動(dòng)功能和90 d格拉斯哥結(jié)果評(píng)分(Glasgow outcome score,GOS)。結(jié)果超早期組與早期組比較,超早期組血腫清除時(shí)間短[(4.5±0.8)d vs.(4.9±1.0)d,q=2.860,P0.05],術(shù)后30 d患肢肌力4~5級(jí)優(yōu)于早期組[82.2%(37/45)vs.62.2%(28/45),Z=-5.572,P=0.000],90 d GOS 5分者優(yōu)于早期組[88.9%(40/45)vs.71.1%(32/45),Z=-6.836,P=0.035]。超早期組與延期組比較,超早期組血腫清除時(shí)間短[(4.5±0.8)d vs.(5.3±1.0)d,q=5.721,P0.05],術(shù)后30 d患肢肌力4~5級(jí)者優(yōu)于延期組[82.2%(37/45)vs.40.0%(18/45),Z=-5.566,P=0.000],90 d GOS 5分者優(yōu)于延期組[88.9%(40/45)vs.48.9%(22/45),Z=-6.771,P=0.000]。早期組與延期組比較,早期組血腫清除時(shí)間短[(4.9±1.0)d vs.(5.3±1.0)d,q=2.860,P0.05],治療30 d患肢肌力4~5級(jí)者優(yōu)于延期組[62.2%(28/45)vs.40.0%(18/45),Z=-2.073,P=0.038],90 d GOS 5分者優(yōu)于延期組[71.1%(32/45)vs.48.9%(22/45),Z=-3.595,P=0.000]。結(jié)論立體定向手術(shù)治療基底核區(qū)高血壓性腦出血最佳手術(shù)時(shí)機(jī)在7 h內(nèi)。
[Abstract]:Objective to investigate the time of stereotactic hematoma aspiration and drainage for hypertensive intracerebral hemorrhage in basal nucleus. Methods from January 2003 to January 2016, 135 patients with hypertensive intracerebral hemorrhage in basal nucleus were treated by stereotactic surgery. According to the time of operation, 135 patients were divided into two groups: the ultra-early group (鈮，

本文編號(hào)：2306810