<noframes id="l5hdb"><address id="l5hdb"></address>
<sub id="l5hdb"></sub>

          <address id="l5hdb"></address>

          |本期目錄/Table of Contents|

          [1]劉耀路,梁日生.顯微外科手術治療中等量幕上自發性腦出血的效果分析[J].福建醫科大學學報,2020,54(02):94-98.
           LIU Yaolu,LIANG Risheng.The Effect of Microsurgery on Moderate SupratentorialSpontaneous Intracerebral Hemorrhage[J].Journal of Fujian Medical University,2020,54(02):94-98.
          點擊復制

          顯微外科手術治療中等量幕上自發性腦出血的效果分析(PDF)
          分享到:

          《福建醫科大學學報》[ISSN:1672-4194/CN:35-1192/R]

          卷:
          第54卷
          期數:
          2020年02期
          頁碼:
          94-98
          欄目:
          臨床研究
          出版日期:
          2020-04-30

          文章信息/Info

          Title:
          The Effect of Microsurgery on Moderate SupratentorialSpontaneous Intracerebral Hemorrhage
          文章編號:
          1672-4194(2020)02-0094-05
          作者:
          劉耀路 梁日生
          福建醫科大學 附屬協和醫院神經外科,福州 350001
          Author(s):
          LIU Yaolu LIANG Risheng
          Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou 350001, China
          關鍵詞:
          顯微外科手術 出血 腦出血
          Keywords:
          microsurgery hemorrhage cerebral hemorrhage
          分類號:
          R743.34
          DOI:
          -
          文獻標志碼:
          A
          摘要:
          目的 分析顯微外科手術與內科保守處理在治療幕上自發性腦出血效果的差別。 方法 回顧性分析55例幕上自發性腦出血患者的臨床資料,分為外科手術組和保守治療組,統計兩組的入院出血量、入院GCS評分、7 d后殘余血腫量、7 d后GCS評分、住院天數、住院費用、1月后GOS評分、3月后GOS評分。 結果 兩組患者在殘余血腫量、GCS評分、住院天數、發病1月后及3月后的GOS評分比較,差別均有統計學意義(P<0.05)。結論 顯微外科手術在治療幕上自發性腦出血中具有一定優勢,可在短期內改善患者神經功能,并在一定程度上提高生活質量。
          Abstract:
          Objective To compare the difference in curative effect between microsurgery and conservative treatment for supratentorial spontaneous intracerebral hemorrhage. Methods A retrospective study was performed on 55 patients with supratentorial spontaneous intracerebral hemorrhage from January 2016 to September 2018. The patients were divided into microsurgery group and conservative treatment group. Bleeding volume on admission, GCS scores on admission, remaining hematoma volume after 7 days of admission, GCS scores after 7 days of admission, hospitalization days, medical expenditure of inpatients, GOS scores after 1 months of admission, and GOS scores after 3 months of admission for patients in the two groups were recorded. Results There were statistical differences(P<0.05)between the two groups on the remaining hematoma volume,GCS scores after 7 days of admission, and length of hospital stay. Meanwhile the two GOS scores(P<0.05)of microsurgery group were higher than that of conservative treatment group. Conclusion Compared to conservative treatment, microsurgery has its own advantages in the treatment of spontaneous intracerebral hemorrhage. And it can not only obviously improve the neurological function in a short time, but enhance quality of life to some extent.

          參考文獻/References:

          [1] 中華醫學會神經外科學分會, 中國醫師協會急診醫師分會, 國家衛生和計劃生育委員會腦卒中篩查與防治工程委員會. 自發性腦出血診斷治療中國多學科專家共識[J]. 中華急診醫學雜志,2015,31(12):1319-1323.
          [2] 中華醫學會神經病學分會, 中華醫學會神經病學分會腦血管病學組. 中國腦出血診治指南(2014)[J]. 中華神經科雜志,2015,48(6):435-444.
          [3] 胡 榮,馮 華. 典型腦疾病——自發性腦出血研究進展與新理念[J]. 科技導報,2017,35(4):18-22.
          [4] Zheng J,Li H,Guo R,et al. Minimally invasive surgery treatment for the patients with spontaneous supratentorial intracerebral hemorrhage(MISTICH): protocol of a multi-center randomized controlled trial[J]. BMC Neurol,2014,14:206.
          [5] 孟艷舉,王 路,王獻清,等. 青年自發性腦出血的病因及臨床特點分析[J]. 中華神經外科疾病研究雜志,2016,15(6):490-492.
          [6] Adeoye O, Broderick J P. Advances in the management of intracerebral hemorrhage[J]. Nat Rev Neurol,2010,6(11):593-601.
          [7] Mendelow A D,Gregson B A,Rowan E N,et al. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas(STICH Ⅱ): A randomised trial[J]. Lancet,2013,382(9890):397-408.
          [8] 聶兆波,康全利,李 偉,等. 微創穿刺引流術治療幕上自發性腦出血的臨床效果分析[J]. 中華神經創傷外科電子雜志,2018,4(3):157-160.
          [9] 李玉蓮, 劉春燕. 醒腦靜注射液聯合依達拉奉治療急性腦出血的療效及對患者神經功能的影響[J]. 中國實用神經疾病雜志,2016,19(16):64-66.
          [10] Gioia L C,Kate M,Dowlatshahi D,et al. Blood pressure management in acute intracerebral hemorrhage: current evidence and ongoing controversies[J]. Curr Opin Crit Care,2015,21(2):99-106.
          [11] 王育勝,柯以銓,洪映標,等. 30~40 mL高血壓腦出血鎖孔血腫清除術與內科保守療法的療效比較[J]. 中華神經醫學雜志,2016,15(6):629-632.
          [12] Zheng J,Li H,Zhao H X,et al. Surgery for patients with spontaneous deep supratentorial intracerebral hemorrhage: A retrospective case-control study using propensity score matching[J]. Medicine(Baltimore), 2016,95(11):e3024.
          [13] Hemphill J C,Greenberg S M,Anderson C S,et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke,2015,46(7):2032-2060.
          [14] Mendelow A D,Gregson B A,Fernandes H M,et al. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage(STICH): A randomised trial[J]. Lancet,2005,365(9457):387-397.
          [15] Zhou X,Chen J,Li Q,et al. Minimally invasive surgery for spontaneous supratentorial intracerebral hemorrhage: a meta-analysis of randomized controlled trials[J]. Stroke,2012,43(11):2923-2930.
          [16] 張 博,李利紅,江 蕓. 微創術與開顱術治療自發性腦出血的效果比較研究[J]. 臨床合理用藥雜志,2018,11(9):117-118.
          [17] Gregson B A,Mitchell P,Mendelow A D. Surgical decision making in brain hemorrhage[J]. Stroke, 2019,50(5):1108-1115.
          [18] 劉雪剛,劉德強,戴誠達,等. 顯微外科手術治療自發性腦出血[J]. 浙江創傷外科,2018,23(2):314-315.
          [19] 呂慶偉,過 宓,周 晶,等. 顯微鏡下高血壓腦出血手術治療體會[J]. 浙江創傷外科,2015,20(2):261.

          相似文獻/References:

          [1]吳喜躍,江常震,王燈亮,等.巖斜區腫瘤外科治療策略探討[J].福建醫科大學學報,2013,47(02):113.
          [2]彭建揚,翁志成,吳偉達,等.胃Dieulafoy病的急診介入栓塞治療6例[J].福建醫科大學學報,2015,49(06):390.
          [3]陸林祥,方 軍,張飛龍,等.導管射頻消融聯合左心耳封堵治療持續性心房顫動1例[J].福建醫科大學學報,2016,50(03):181.
           LU Linxiang,FANG Jun,ZHANG Feilong,et al.Catheter Radiofrequency Ablation in Combination with Left Atrial AppendageClosure for Persistent Atrial Fibrillation( one case report)[J].Journal of Fujian Medical University,2016,50(02):181.
          [4]馮秀山,陳佩芳.腹腔鏡下子宮頸癌根治術與經腹手術的對比研究[J].福建醫科大學學報,2016,50(06):428.
           FENG Xiushan,CHEN Peifang.Comparative Study of Laparoscopic Radical Hysterectomyand Abdominal Radical Hysterectomy[J].Journal of Fujian Medical University,2016,50(02):428.

          備注/Memo

          備注/Memo:
          收稿日期: 2019-04-26作者簡介: 劉耀路,男,住院醫師,醫學碩士通訊作者: 梁日生. Email: doctorlr125@163.com
          更新日期/Last Update: 2020-04-30
          鼎盛彩票