摘要
目的:探讨微创血肿穿刺引流术与小骨窗开颅术治疗高血压脑出血疗效对比情况,为合理选择手术方法提供参考。方法:高血压脑出血患者120例,根据随机原则分为治疗组与对照组各60例,对照组采用小骨窗开颅术,治疗组采用CT引导下微创血肿穿刺引流术。结果:两组术后都无死亡患者,两组的再次出血率、肺部感染率、消化道出血率均无显著性差异(P>0.05)。随访中也无死亡病例,治疗组的近期疗效优良率好于对照组(P<0.05),治疗组的远期疗效也明显好与对照组(P<0.05)。结论:高血压脑出血患者应尽早实施CT引导下微创血肿穿刺引流术与,降低患者的致残率,提高预后疗效。
Objective To investigate the efficacy of minimally invasive hematoma puncture drainage and small bone window craniotomy for treating hypertensive cerebral hemorrhage to provide a reference for a reasonable choice of surgical ways. Methods 120 cases hypertensive intracerebral hemorrhage patients were equally randomly divided into treatment group and control group of 60 cases, the control group were given with small bone window craniotomy, the treatment group were treated with CT-guided minimally invasive hematoma puncture drainage. Results No patients were died after surgery and follow-up, the re-bleeding, lung infection, gastrointestinal bleeding rate, the excellent rates of short-term efficacy and follow-up efficacy were better than the control group （P〈0.05）. Conclusion Hypertensive cerebral hemorrhage patients should as soon as possible to imply CT-guided minimally invasive hematoma puncture drainage for reducing patient morbidity and improving the prognosis of efficacy.
出处
《中国美容医学》
CAS
2012年第09X期134-135,共2页
Chinese Journal of Aesthetic Medicine
关键词
微创血肿穿刺引流术
小骨窗开颅术
高血压脑出血
minimally invasive hematoma puncture drainage
small bone window craniotomy
hypertensive intracerebral hemorrhage
