热带病与寄生虫学

热带病与寄生虫学 ›› 2013, Vol. 11 ›› Issue (4): 232-234.doi: 10.3969/j.issn.1672-2302.2013.04.015

• 论著 • 上一篇    下一篇

超声引导手术治疗颅内出血的效果

王彬*，韩志强#，候立军   

  1. 中国人民武装警察部队上海市总队医院神经外科（王彬、韩志强），中国人民解放军第二军医大学附属长征医院神经外科（候立军）；*通讯作者，#共同第一作者
  • 出版日期:2013-04-25 发布日期:2014-02-19

Efficacy of ultrasound-assisted surgical treatment of intracranial hemorrhage

Wang Bin*#, Han Zhiqiang#, Hou Lijun   

  1. 1. Department of Neurosurgery, General Hospital of Chinese People's Armed Police Forces, Shanghai 201103, China.  2. Changzheng Hospital Affiliated to the Second Military Medical University. * Corresponding author, # Co-first author.
  • Online:2013-04-25 Published:2014-02-19

被引次数

4

摘要： 目的  探讨超声引导下手术治疗颅内出血的效果。 方法  选择2009年7月至2012年12月在本院接受超声引导手术治疗的38例颅内出血患者为研究对象，以中国脑卒中临床神经功能缺损程度评分量表（CSS）评分作为患者术前及术后14 d神经功能和近期恢复评价指标，应用Barthel指数分级法对患者术后6个月日常生活活动能力（Activities of Daily Living，ADL）进行评估，并比较分析。 结果  38例患者术前平均CSS评分为28.42±5.59分，高于术后平均CSS评分（12.39±6.87分）（P < 0.05）。术后5个月随访，34例患者术后恢复良好（Barthel指数＞60），生活基本自理。 结论  超声引导手术治疗颅内出血效果较好，值得推广应用。

关键词: font-family: 宋体, mso-ansi-language: EN-US, mso-fareast-language: ZH-CN, mso-bidi-language: AR-SA, mso-font-kerning: 1.0pt, mso-bidi-font-family: 'Times New Roman', mso-ascii-font-family: 'Times New Roman', mso-hansi-font-family: Calibri">超声, 手术治疗, 颅内出血, 效果评价

Abstract:

Objective  To assess the clinical efficacy of ultrasound-assisted surgical treatment of intracranial hemorrhage. Methods  38 patients with intracranial hemorrhage undergoing ultrasound-assisted surgical treatment in the hospital from July 2009 to December 2012 were served as the research subjects. All patients were scored using the Chinese Stroke Scale (CSS) before surgery and 14 days after surgery to assess the nerve functions and short-term recovery, the activities of daily living (ADL) was evaluated using the Barthel index 6 months after surgery and then the differences among the patients was statistically analyzed. Results  The mean of pre-surgical CSS score for the 38 patients was 28.42±5.59, which was higher than the mean of post-surgical CSS score (12.39±6.87) (P < 0.05). The follow-up 5 months after the surgery revealed that 34 patients had a fine post-surgical recovery (Barthel index > 60), and they could manage their daily activities by themselves. Conclusion  Ultrasound-assisted surgery showed a satisfactory efficacy in treatment of intracranial hemorrhage and deserved further and wider application.

Key words: font-family: "Times New Roman", mso-fareast-font-family: 宋体, mso-ansi-language: EN-US, mso-fareast-language: ZH-CN, mso-bidi-language: AR-SA, mso-font-kerning: 1.0pt">Ultrasound, Surgical treatment, Intracranial hemorrhage, Effectiveness evaluation