摘要
目的:观察微创颅内血肿清除术(微创术)治疗脑出血的疗效。方法:将120例患者分为微创组60例和内科保守治疗组(内科组)60例,比较两组疗效。结果:微创组总有效率(81.67%)优于内科组(45.00%)(P<0.005)。微创组病死率(11.67%)显著低于内科组(40.00%)(P<0.005)。随访6个月患者日常生活能力状态比较差异有统计学意义(P<0.05)。结论:微创术治疗脑出血简便易行,创伤小,安全可靠,经济实用,可显著改善患者的预后和降低患者病死率,适宜基层医院推广应用。
Objective: To observe the efficacy of micro-traumatic operation ( MTO ) on cerebral hemorrhage ( CH ). Methods : One hundrend and twenty cases of CH were divided into MTO group ( n = 60, treated with MTO) and medical group ( n = 60, treated with conservative treatment) separately and the results of the two groups were compared. Results:The total effective rate in the MTO group was 81.67% , which was higher than that in the medical group (45.00%) (P 〈 0. 005 ). The case fatality rate in the MTO group ( 11.67% ) was lower than that in the medical group (40.00%) (P 〈 0.005 ). The patient' s activity of daily living and states of the two groups had obvious difference after six months' follow-up ( P 〈 0.05 ). Conclusions : The therapy of MTO is a simple, safe and economic method with small traumas. It can obviously improve the patient' s prognosis and reduce the death rate of patients with CH. It is worth carrying out in primary hospitals.
出处
《蚌埠医学院学报》
CAS
2007年第4期443-444,共2页
Journal of Bengbu Medical College
关键词
脑出血
颅内血肿清除术
cerebral hemorrhage
evacuation of intracranial hematoma