[1]赵英志,曹惠芳,张兴春,等.2种立体定向双靶点置管引流术治疗基底节区椭圆形脑出血的比较[J].中国微创外科杂志,2010,10(2):160-162.
　Zhao Yingzhi,Cao Huifang,Zhang Xingchun,et al.Comparison of Two Ways of DoubleTarget Stereotactic Drainage Pipe in the Treatment of Oval Basal Ganglia Hemorrhage[J].Chinese Journal of Minimally Invasive Surgery,2010,10(2):160-162.
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2种立体定向双靶点置管引流术治疗基底节区椭圆形脑出血的比较()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
10
期数:
2010年2期
页码:
160-162
栏目:
出版日期:
2010-07-01

文章信息/Info

Title:
Comparison of Two Ways of DoubleTarget Stereotactic Drainage Pipe in the Treatment of Oval Basal Ganglia Hemorrhage
作者:
赵英志; 曹惠芳; 张兴春; 孙宇男; 于守波
吉林省前卫医院神经外科,长春130012
Author(s):
Zhao Yingzhi;  Cao Huifang;  Zhang Xingchun;  et al.
Department of Neurosurgery, Jilin Province Qianwei Hospital, Changchun 130012, China
关键词:
立体定向; 置管引流术; 基底节; 脑出血
Keywords:
Stereotactic; Drainage pipe operation; Basal ganglia; Hemorrhage
分类号:
R651.1
文献标志码:
A
摘要:
目的比较2种立体定向双靶点置管引流术的优缺点。方法在基底节区椭圆形脑出血的治疗中，经椭圆形的前上1/4和后下1/4（或前下1/4和后上1/4）单管置管引流40例；分别以椭圆形的前上1/3和后下1/3（或前下1/3和后上1/3）为靶点，双管置管引流40例。比较2组手术时间、术中出血量、拔管时间、术后3个月ADL评分。结果2组手术均顺利完成。双管组手术时间（110±18）min显著长于单管组（70±21）min（t=-9.147, P=0.000），双管组术中出血量（8±3）ml显著多于单管组（4±2）ml（t=-7.017, P=0.000），双管组拔管时间（4.5±1.5）d显著长于单管组（3.0±1.5）d（t=-4.472，P=0000）。术后3个月ADL评分2组差异无显著性(Z=0.005，P=0.500 )。结论治疗基底节区椭圆形脑出血，与双管双靶点置管引流手术相比，单管双靶点置管引流手术近期疗效相同，但手术时间短，术中出血少，血肿清除快，是一种较好的治疗方法。
Abstract:
ObjectiveTo compare the strong and weak points of two ways of doubletarget stereotactic drainage pipe(s).MethodsTotally 80 patients with oval basal ganglia hemorrhage were treated by using doubletarget with stereotactic drainage pipe. In 40 cases, one pipe through one fourth of the frontal and upper oval as well as the latter and nether oval (or one fourth of the frontal and nether oval as well as the latter and upper oval) was placed; In the other 40 cases, two pipes were introduced at the level of one third of the frontal and upper oval as well as the latter and nether oval (or one third of the frontal and nether oval as well as the latter and upper oval). The operation time, intraoperative blood loss, time of pipe(s) withdrawal and the ADL score determined 3 months after the operations were compared between the two groups.ResultsThe operations were completed successfully in both the groups. The operation time of the two pipes group ［(110±18) min］ are significantly longer than that in the one pipe group ［(70±21) min, t=-9.147, P=0.000］. The intraoperative blood loss of the two pipes group ［(8±3) ml］ are significantly more than that in the one pipe group ［(4±2) ml, t=-7.017, P=0.000］. The time of pipe(s) pulling out in the two pipes group ［(4.5±1.5) d］ are significantly longer than that in the one pipe group (3.0±1.5) d, t=-4.472, P=0.000］. The ADL scores determined at 3 months after the operation were not significantly different between the two groups (Z=0.005, P=0.500).ConclusionsIn the treatments of oval basal ganglia hemorrhage by doubletarget stereotactic drainage pipe(s), twopipe and onepipe methods show similar shortterm effects, but the twopipe method results in significantly shorter operation time, less intraoperative blood loss and rapidly cleared hematoma.

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更新日期/Last Update: 2013-07-16