两种手术方式治疗优势半球壳核出血的临床研究.docVIP

两种手术方式治疗优势半球壳核出血的临床研究 　　[摘要] 目的 探讨两种手术方式对优势半球壳核出血患者的治疗效果。 方法 将54例优势半球壳核出血患者分为开颅组和立体定向组，分别施行开颅血肿清除术和立体定向血肿引流术，观察两组的日常生活能力及失语程度。 结果 6个月时对患者随访，按改良Barthel指数法评定日常生活能力，开颅组与立体定向组分别有17例（70.83%）和22例（73.33%）效果良好，两组比较差异无统计学意义（P0.05）；应用BDAE失语症严重程度分级对失语进行评定，两组分别有13例（54.17%）和23例（76.67%）效果良好，差异有统计学意义（P0.05）。 结论 立体定向血肿引流术应用于优势半球壳核出血患者，有利于语言功能的康复，效果优于开颅血肿清除术。 　　[关键词] 壳核出血；优势半球；开颅手术；立体定向技术；语言障碍 　　[中图分类号] R743.34[文献标识码] A[文章编号] 1674-4721（2014）06（b）-0024-03 　　 　　Clinical research of two kinds of operation methods in the treatment of dominant hemisphere putamen hemorrhage 　　WANG Xian-wen 　　Department of Neurosurgery,Traditional Chinese Medicine Hospital of Anyang City in Henan Province,Anyang 455000,China 　　[Abstract] Objective To explore the curative effects of two kinds of operation methods in the treatment of dominant hemisphere putaminal hemorrhage. Methods 54 cases of patients with dominant hemisphere putaminal hemorrhage were divided into craniotomy group and stereotactic technique group,craniotomy and evacuation of hematoma was used in craniotomy group and stereotactic drainage of hematoma was used in stereotactic technique group.Activity of daily living and the extent of aphasia in two groups was observed respectively. Results The patients were followed up six months after therapy.Activity of daily living was evaluated according to reforming Barthel index number.17(70.83%)and 22(73.33%)patients obtained good curative effect in craniotomy group and stereotactic technique group respectively,with no statistical difference(P0.05).Aphasia was evaluated according to BADE classify of serious level of aphasia.13(54.17%)and 23(76.67%)patients obtained good effect in craniotomy group and stereotactic technique group respectively,with statistical difference(P0.05). Conclusion Stereotactic technique applied in dominant hemisphere putaminal hemorrhage is conducive to the rehabilitation of language function,it′s curative effect is better than craniotomy and evacuation of hematoma.