摘要
目的观察定向软通道微创颅内血肿清除术治疗高血压脑出血的疗效。方法选择我院2013-01—2014-01收治的48例高血压脑出血患者,按照随机数字法分组,每组24例,观察组采取定向软通道微创颅内血肿清除术治疗,对照组采取传统大骨瓣开颅血肿清除术治疗,比较2组疗效及病死率。结果观察组术中出血量、手术时间、住院时间分别为(56.7±15.6)mL、(22.5±7.9)min、(21.9±7.6)d,均明显低于对照组(89.9±22.1)mL、(235.7±27.4)min、(27.8±8.5)d(均P<0.05);观察组经治疗后,疗效明显优于对照组;观察组不良反应9例(37.5%),死亡1例(4.2%),均显著低于对照组的13例(54.2%)、3例(12.5%)。结论定向软通道微创颅内血肿清除术治疗高血压脑出血疗效较佳,患者预后好,不良反应及病死率较低。
Objective ＂ To investigate the curative effect of directional soft channel al hematoma on treating patients with hypertensive intracerebral hemorrhage. Methods minimally invasive removal of intracrani- 48 patients with hypertensive cerebral hemorrhage in our hospital from 2013 January to 2014 January were divided into control group （n= 24, treated with conven- tional big hone flap eraniotomy hematoma removal） and observation group （n= 24, directional soft channel minimally invasive removal of intracranial hematoma）. The curative effect and mortality of two groups were compared. Results The bleeding amount, operation time and hospitalization time in the observation group were lower than these in the control group （56.7 mL± 15.6 mLvs89.9 mL±22.1 mL, 22.5 min±7.9 minvs235.7 min±27.4 min, 21.9d ± 7.6dvs27.8d ±8.5d）. Thecurative effect of observation group was better than that of control group. were lower than these of control group （9 cases vs 13 cases, 1 case vs 3 cases）. Conclusion The directional soft channel minimally invasive intracranial hematoma has better curative effect, lower adverse reaction and mortality on treating patients with hypertensive cerebral hemorrhage.
出处
《中国实用神经疾病杂志》
2015年第2期17-19,共3页
Chinese Journal of Practical Nervous Diseases
关键词
定向软通道
颅内血肿清除术
脑出血
Directional soft channel
Removal of intracranial hematoma
Intraeerebral hemorrhage
