摘要
目的探讨超早期微创手术治疗高血压脑出血的临床效果。方法武警河北总队医院神经外科2002年7月—2012年6月采用微创手术治疗高血压基底节区脑出血225例,按治疗时机分为超早期(脑出血2～6 h)微创治疗组(116例)与延期(脑出血≥6 h)微创治疗组(109例),比较两组远期疗效。结果超早期微创治疗组较延期微创治疗组术后恢复优良率明显提高(P<0.05),病死率和并发症发生率明显下降(P<0.05)。结论超早期微创手术治疗高血压脑出血具有创伤小、定位准确、疗效显著、并发症少、预后佳等优点。
Objective To explore clinical efficacy of super-early stage minimally invasive surgery in treatment of hypertensive cerebral hemorrhage.Methods A total of 225 patients with hypertensive basal ganglia hemorrhage treated with minimally invasive surgical in our department during July 2002 and June 2012 were divided into the super-early（within cerebral hemorrhage 2-6 h） minimally invasive treatment group（group A,n =116） and deferred（cerebral hemorrhage ≥6 h） minimally invasive treatment group（group B,n = 109）,long-term efficacy of the two groups were compared.Results Fine rate of postoperative recovery in group A was significantly higher than that of group B（P 0.05）,and mortality and complication rate in group A were significantly lower than those of group B（P 0.05）.Conclusion The method of super-early stage minimally invasive surgery in treatment of hypertensive cerebral hemorrhage has advantages such as minimally invasive,accurate positioning,a significant effect,fewer complications and better prognosis.
出处
《解放军医药杂志》
CAS
2013年第3期31-33,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
关键词
颅内出血
高血压性
超早期
外科手术
微创性
预后
Intracranial hemorrhage
hypertensive
Super-early stage
Surgery
minimally invasive
Prognosis
