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目的探讨CT引导下立体定向手术治疗外囊血肿的效果。方法选取高血压性外囊血肿患者50例,根据随机数字表法分为观察组和对照组,各25例。观察组应用CT引导下立体定向手术,对照组应用传统开颅手术进行治疗,观察两组患者手术时间、术中出血量、并发症发生率、近期死亡率以及神经功能损伤评分。结果1观察组手术时间和术中出血量明显低于对照组,差异有统计学意义(P<0.01);2观察组再出血率和并发症发生率明显低于对照组,差异有统计学意义(P<0.05);1个月内死亡率两种差异无统计学意义(P>0.05);3观察组术后第14d评分明显低于对照组,差异有统计学意义(P<0.05);术后21d明显低于对照组,差异有统计学意义(P<0.01)。结论 CT引导下立体定向手术治疗外囊血肿效果好,安全性高,值得在临床上推广应用。
Objective To investigate the effect of CT-guided stereotactic surgery on peripheral sac hematomas. Methods Fifty patients with hypertensive extracapsular hematoma were selected and divided into observation group and control group according to random number table method, with 25 cases in each group. The patients in the observation group were treated with CT-guided stereotactic surgery. The patients in the control group were treated with conventional craniotomy. The operation time, intraoperative blood loss, complication rate, recent mortality and neurological impairment scores were observed. Results 1 The operation time and intraoperative blood loss in the observation group were significantly lower than those in the control group (P <0.01); 2 The rebleeding rate and complication rate in the observation group were significantly lower than those in the control group (P <0.05). There was no significant difference in mortality within 1 month (P> 0.05) .3 The score of the 14th day after operation in the observation group was significantly lower than that in the control group (P <0.05). 21d after operation was significantly lower than the control group, the difference was statistically significant (P <0.01). Conclusion Stereotactic CT-guided surgical treatment of extracapsular hematoma is effective and safe, which is worth popularizing in clinic.