摘要
目的评价颅内血肿微创清除术治疗高血压性脑出血的治疗效果。方法所选病例分为微创组(100例)和对照组(103例),微创组采用微创术清除血肿,对照组行常规内科保守治疗。治疗后2周时观察两组患者临床神经功能缺损评分、并发症及病死率。结果治疗后2周微创组总有效率为80.0%,明显优于对照组的49.5%(P<0.05),同时微创组治疗后2周的并发症及病死率明显低于对照组(P<0.05)。结论颅内血肿微创清除术治疗高血压性脑出血较内科保守治疗疗效好。
Objective To evaluate the efficacy of minimally invasive surgery for intracranial hematoma in the treatment of hypertensive intracerebral hemorrhage （HIH）. Methods One hundred patients with HIH and who underwent minimally invasive surgery for intracranial hematoma （study group ） and 103 HIH patients receiving conventional medical treatment （control group） were enrolled. Clinical neurological deficits, complications and the mortality were observed two weeks after treatment. Results The total effective rate in the study group （80.0%） was significantly higher than that in the control group （49.5%） （P 〈 0.05 ）. The incidence of the complication and the mortality rate in the study group were significantly lower than in the control group （ P 〈 0.05 ）. Conclusions Minimally invasive surgery for intracranial hematoma seems to be better in the treatment of HIH than conventional medical treatment.
出处
《国际神经病学神经外科学杂志》
2009年第2期102-104,共3页
Journal of International Neurology and Neurosurgery
关键词
颅内血肿
微创术
高血压性脑出血
临床
minimally invasive surgery for intracranial hematoma
hypertensive intracerebral hemorrhage
