CAJ | 학술논문

目的探讨立体定向抽吸引流术治疗中少量高血压性脑出血的效果并讨论手术相关问题.方法将60例脑出血患者分为两组(立体定向手术组30例,非手术治疗组30例),比较两组患者住院期间再出血率、病死率和远期恢复情况(GOS分级).结果两组住院期间发生再出血、病死率差异均无统计学意义(均P>0.05);远期GOS分级手术组优于非手术组(P<0.05).结论高血压性脑出血患者立体定向手术远期疗效优于非手术治疗.
목적 탐토입체정향추흡인류술치료중소량고혈압성뇌출혈적효과병토론수술상관문제.방법 장60례뇌출혈환자분위량조(입체정향수술조30례,비수술치료조30례),비교량조환자주원기간재출혈솔、병사솔화원기회복정황(GOS분급).결과 량조주원기간발생재출혈、병사솔차이균무통계학의의(균P>0.05);원기GOS분급수술조우우비수술조(P<0.05).결론 고혈압성뇌출혈환자입체정향수술원기료효우우비수술치료.
Objective To explore the near-term therapeutic effect and long-term result of stereotactie surgery in treatment of moderate hypertensive intraeerebral hemorrhage and discuss related problems of the surgery.Methods 60 cases of moderate hypertensive intracerebral hemorrhage were divided into two groups at random.30 cases treated by stereotactie surgery,the others treated by nonsurgical method, the near-term rebleeding rate, mortality rate and longterm living quality of the two groups were analyzed and compared.Results There were no statistical differences in rebleeding rate and mortality rate between the two groups( all P >0.05 ).The long-term result indicated that there was statistical difference in GOS grades between the two groups( P <0.05).The surgical group had better result than nonsurgical group.Conclusion The patients suffered for moderate hypertensive intracerebral hemorrhage treated by stereotsefic surgery had better long-term therapeutic effect than those treated by nonsurgical method.