摘要
目的探讨基底节区高血压脑出血在临床外科治疗中，开瓣手术与双管钻孔引流术手术方式的最佳选择，以达到最大限度的改善预后。方法以术后6个月死亡率和致残率作为评定指标，对59例开瓣血肿清除术和78例双管钻孔引流术病例按GCS评分高低和血肿量大小进行分类对比研究。结果血肿量80～115mL组中开瓣血肿清除术组死亡率（46．15％）较双管钻孔引流术组死亡率（77．78％）显著降低（P〈0．005）；GCS评分8～12分组中，双管钻孔引流术组伤残与自理人数比例（8：23）较开瓣血肿清除术组伤残与自理人数比例（9：4）明显降低（P〈0．05）。结论血肿量80～115mL的患者采用开瓣血肿清除术能明显降低死亡率；GCS评分8～12分的患者应用双管钻孔引流术可降低致残率。
Objective To investigate the best selection of craniotomy and double-tube drainage in the clinical surgical treatment of hypertensive intracerebral hemorrhage in basal ganglia region to improve the prognosis mostly. Methods By evaluating the death rate and mutilation in six months after operation, 59 cases of craniotomy and 78 cases of double-tube drainage were researched by contrast and classification with the Glasgow score and hematoma amount. Results Death rate of craniotomy in group of hematoma amount 80-115mL（46.15%）was more lower than death rate of double-tube drainage （77.78%）, the result was predominant difference （P〈0. 005）. The group of Glasgow score 8-12 ,proportion of disability and self-care in the group of double-tube drainage was 8 - 23. Otherwise the proportion of disability and self-care in the group of craniotomy was 9 - 4. The former was lower than the latter and. the result was predominant difference （P〈0. 005）. Conclusion Craniotomy can obviously reduce the rate of death in the patients of hematoma amount 80-115mL. And double-tube drainage can obviously degrade the rate of death in the patients of Glasgow score 8-12.
出处
《重庆医学》
CAS
CSCD
北大核心
2009年第10期1200-1201,共2页
Chongqing medicine
关键词
高血压脑出血
开瓣血肿清除
双管钻孔引流
预后
hypertensive intracerebral hemorrhage
craniotomy
double-tube drainage
prognosis
