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目的评价B型超声导航在锁孔入路开颅血肿清除术中的应用价值。方法 60例高血压脑出血患者,随机分为观察组和对照组,每组30例。对照组常规方法进行手术,术前影像学检查确认入路、制定手术方案,观察组联合B型超声术中定位、血肿量评估。观察比较两组患者的手术指征、治疗效果及并发症发生情况。结果观察组出血量、手术时间、血肿清除率、第14日血肿清除率、住院时间、第14日Glasgow评分均优于对照组,比较差异均有统计学意义(t=4.02、2.61、2.72、3.80、3.05、2.73,P<0.05)。观察组并发症发生率为33.33%,对照组并发症发生率为40.00%,两组比较差异无统计学意义(P>0.05)。结论锁孔入路中联合术中B型超声,明显优于没有使用术中B型超声的对照组,有助于缩短手术时间,减少出血量,提高血肿清除效果,从而改善预后。
Objective To evaluate the value of B-mode ultrasound in keyhole craniotomy hematoma removal. Methods Sixty patients with hypertensive intracerebral hemorrhage were randomly divided into observation group and control group, 30 cases in each group. Control group conventional method of surgery, preoperative imaging confirmed the approach, the development of surgical options, the observation group combined with B-mode ultrasound, hematoma assessment. Observed and compared the operation indications, the therapeutic effect and the complication of the two groups of patients. Results The bleeding volume, operation time, hematoma clearance rate, hematoma clearance rate on the 14th day, hospitalization time and Glasgow score on the 14th day in the observation group were all better than those in the control group (t = 4.02, 2.61, 2.72, 3.80, 3.05, 2.73, P <0.05). The incidence of complications in the observation group was 33.33%, the incidence of complications in the control group was 40.00%. There was no significant difference between the two groups (P> 0.05). Conclusion Keyhole approach combined with intraoperative B-mode ultrasound is significantly better than the control group without intraoperative B-mode ultrasound, which can help to shorten the operation time, reduce the amount of bleeding and improve the hematoma clearance, thus improving the prognosis.