微创医学

目的探讨侧裂入路显微手术治疗基底节区高血压脑出血（HICH）的有效性及安全性。方法回顾性分析32例行侧裂入路显微手术治疗的基底节区HICH患者（观察组）和32例行大骨瓣开颅血肿清除术的基底节区HICH患者（对照组）临床资料。比较两组手术疗效住院期间并发症发生情况（肺部感染、泌尿系统感染、应激性溃疡）以及术后3个月时功能性语言沟通能力量表(CFCP)评分、改良Barthel指数(MBI)差异。结果观察组手术总有效率高于对照组，差异有统计学意义（P＜0.05）。观察组住院期间相关并发症总发生率明显低于对照组（P＜0.05）。观察组术后3个月时CFCP、MBI评分均较对照组高，差异有统计学意义（P＜0.05）。结论侧裂入路显微手术治疗基底节区HICH效果显著且安全性较高，有利促进了患者术后日常活动能力及语言能力的恢复。

ObjectiveTo explore the effectiveness and safety of microsurgery through lateral fissure approach in the treatment of hypertensive basal ganglia hemorrhage. MethodsThe clinical data of 64 patients with hypertensive basal ganglia hemorrhage were retrospectively analyzed,including 32 patients (observation group) who underwent microsurgery through lateral fissure approach and 32 patients who underwent hematoma evacuation by craniotomy with bone flap.The surgical efficacy, incidence of complications (including pulmonary infection, urinary system infection and stress ulcer) during hospitalization, Chinese functional communication profile(CFCP) score and modified Barthel index（MBI） at 3 months after surgery were compared between the two groups. ResultsThe total surgical effective rate in the observation group was higher than that in the control group (P＜0.05). The incidence of related complications during hospitalization in the observation group was significantly lower than that in the control group (P＜0.05). The scores of CFCP and MBI at 3 months after surgery in the observation group were higher than those in the control group (P＜0.05). ConclusionThe microsurgery through lateral fissure approach can obtain significant efficacy and high safety for hypertensive basal ganglia hemorrhage, and can promote the improvement of activities of daily living and recovery of language competence.