山东医学高等专科学校学报

目的 分析无框架立体定向软通道颅内血肿清除术治疗重症基底节脑出血的效果及预后影响因素。方法 回顾性收集411例重症基底节区脑出血患者临床资料,根据预后情况分为预后良好组和预后不良组,采用Logistic回归分析影响两组预后的因素。结果 入院GCS评分为影响患者预后的独立保护因素,年龄、术前出血量、随机血糖及机械通气为影响患者预后的独立危险因素(P<0.05)。结论 无框架立体定向软通道颅内血肿清除术治疗重症基底节脑出血效果显著,其预后受多种因素的影响。

Objective To analysis of the Effect and Prognostic Influencing Factors of Frameless Stereotactic Soft Channel Intracranial Hematoma Evacuation in the Treatment of Severe Basal Ganglia Hemorrhage. Methods Clinical data from 411 patients with severe basal ganglia hemorrhage were retrospectively collected and divided into a favorable prognosis group and an unfavorable prognosis group based on their outcomes. Logistic regression analysis was used to identify the factors influencing prognosis between the two groups. Results Admission GCS score was identified as an independent protective factor for patient prognosis, while age, preoperative blood volume, random blood glucose, and mechanical ventilation were identified as independent risk factors(P <0.05). Conclusion Frameless stereotactic soft channel intracranial hematoma evacuation is highly effective in treating severe basal ganglia hemorrhage, with prognosis influenced by multiple factors.