摘要
目的探讨微创钻孔引流与开颅血肿清除两种手术方法治疗高血压脑出血疗效的差异。方法对我院2008年3月～2010年5月收治的82例高血压脑出血手术病例进行回顾分析,比较微创钻孔引流和开颅两组患者的预后情况。结果微创钻孔引流组各创伤指标和残留血肿量较开颅组均显著降低(P<0.05);并发症较开颅组低(P<0.05),ADL疗效评价与开颅组比较无明显差异(P>0.05)。结论微创钻孔引流手术清除脑内血肿具有微创、省时、并发症少等优点,与开颅手术具有相近的疗效,为治疗高血压脑出血提供了一种新方法。
Objective To investigate and compare the therapeutic effect of the two operative techniques in hypertensive intracerebral hemorrhage （HICH）,trepanation and drainage for HICH management and carniotomic hematoma evacuation. Methods From March 2008 to May 2010,82 cases of HICH in our hospital underwent trepanation and drainage management or carniotomic hematoma evacuation, and they were divided into two groups. The therapeutic effect of the two groups was compared. Results The volume of remaining hematoma and the invasive markers were significantly decreased （P〈0.05） in trepanation and drainage for HICH, and there was no significant difference in prognosis between the two groups （P〉0.05）. Conclusion Trepanation and drainage surgery for HICH is characteristic of mini-invasion, time-saving and few complications. It is a new approach in this field.
出处
《中国现代医生》
2010年第34期159-160,共2页
China Modern Doctor
关键词
高血压脑出血
微创手术
Hypertensive hemorrhage
Minimally invasive surgery
