山东医学高等专科学校学报
山東醫學高等專科學校學報
산동의학고등전과학교학보
JOURNAL OF SHANDONG MEDICAL COLLEGE
2009年
4期
305-307,309
,共4页
颅内出血,高血压性%引流术%随访研究
顱內齣血,高血壓性%引流術%隨訪研究
로내출혈,고혈압성%인류술%수방연구
Putaminal hemorrhage%Hypertensive%Drainage%follow-up survey
目的 探讨微创脑内血肿液化引流术治疗高血压性脑壳核出血的疗效.方法 将360例高血压脑出血患者随机分为微创引流组、内科治疗组和开颅手术组.微创引流组根据脑CT显示血肿的不同情况行微创引流术,壳核及脑室出血选择额部入路,保留引流至CT显示血肿消失.内科治疗组以药物治疗为主.开颅手术组则于全麻下进行手术清除血肿.结果 微创引流组治疗后临床神经功能缺损程度评分为(16.14±11.27)分,内科治疗组为(31.43±10.42)分,开颅手术组为(24.20±12.23)分,微创引流组低于其他2组(P<0.01或0.05).3组疗效比较有统计学意义.随访显示:3组患者ADL分级及随访病死率有统计学意义(P<0.01).结论 微创引流术是治疗高血压性脑壳核出血的有效方法.
目的 探討微創腦內血腫液化引流術治療高血壓性腦殼覈齣血的療效.方法 將360例高血壓腦齣血患者隨機分為微創引流組、內科治療組和開顱手術組.微創引流組根據腦CT顯示血腫的不同情況行微創引流術,殼覈及腦室齣血選擇額部入路,保留引流至CT顯示血腫消失.內科治療組以藥物治療為主.開顱手術組則于全痳下進行手術清除血腫.結果 微創引流組治療後臨床神經功能缺損程度評分為(16.14±11.27)分,內科治療組為(31.43±10.42)分,開顱手術組為(24.20±12.23)分,微創引流組低于其他2組(P<0.01或0.05).3組療效比較有統計學意義.隨訪顯示:3組患者ADL分級及隨訪病死率有統計學意義(P<0.01).結論 微創引流術是治療高血壓性腦殼覈齣血的有效方法.
목적 탐토미창뇌내혈종액화인류술치료고혈압성뇌각핵출혈적료효.방법 장360례고혈압뇌출혈환자수궤분위미창인류조、내과치료조화개로수술조.미창인류조근거뇌CT현시혈종적불동정황행미창인류술,각핵급뇌실출혈선택액부입로,보류인류지CT현시혈종소실.내과치료조이약물치료위주.개로수술조칙우전마하진행수술청제혈종.결과 미창인류조치료후림상신경공능결손정도평분위(16.14±11.27)분,내과치료조위(31.43±10.42)분,개로수술조위(24.20±12.23)분,미창인류조저우기타2조(P<0.01혹0.05).3조료효비교유통계학의의.수방현시:3조환자ADL분급급수방병사솔유통계학의의(P<0.01).결론 미창인류술시치료고혈압성뇌각핵출혈적유효방법.
Objective To explore the curative effects of minimally invasive drainage on hypertensive putaminal hemorrhage.Methods The patients were randomly divided into the minimally invasive drainage group (Group A),the medical treatment group(Group B) and the Craniotomy group(GroupC).Group A received minimally invasive drainage according to the hematoma revealed by CT scanning,and putamen and intraventricular hemorrhage was treated throuh forehead with the drainage reserved to get the disappearance of hematoma.Group B received drug administation and Group C received the removal of hematoma under general anesthesia.Results After the minimally invasive drainage,the neurological functional deficit scores were (16.14±11.27)in GroupA,(31.43±10.42)in Group B and (31.43±10.42)in Group C respectively.The follow-up surveys showed that tere existed significant differences between the three groups in terms of activities of daily living and mortality(P＜0.01).Conclusion Minimally invasive drainage is an effective therapy for hypertensive putaminal hemorrhage.
