中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
4期
48-49
,共2页
高血压脑出血%小骨窗开颅术%CT引导血肿吸引
高血壓腦齣血%小骨窗開顱術%CT引導血腫吸引
고혈압뇌출혈%소골창개로술%CT인도혈종흡인
Hypertension cerebral hemorrhage%Small skull window%Computed tomographic-guided aspiration
目的 比较小骨窗开颅手术及CT定位微创引流手术治疗高血压基底节区出血的疗效.方法 回顾性分析95例高血压脑出血的临床表现、手术方式及疗效.结果 小骨窗开颅手术51例,CT引导血肿吸引44例.两组年龄、术前血压、血肿量、术前GCS评分及发病至手术时间均无明显差异(P＞0.05).血肿清除量:小骨窗开颅手术组优于CT血肿吸引组(P＜0.05);术后48 h意识好转率小骨窗开颅手术组高于血肿吸引组(P＜0.05);术后血肿继续增大者,CT引导血肿吸引组高于小骨窗开颅下手术组(P＜0.05).结论 小骨窗开颅手术清除血肿充分、止血彻底,疗效优于CT引导血肿吸引术.
目的 比較小骨窗開顱手術及CT定位微創引流手術治療高血壓基底節區齣血的療效.方法 迴顧性分析95例高血壓腦齣血的臨床錶現、手術方式及療效.結果 小骨窗開顱手術51例,CT引導血腫吸引44例.兩組年齡、術前血壓、血腫量、術前GCS評分及髮病至手術時間均無明顯差異(P＞0.05).血腫清除量:小骨窗開顱手術組優于CT血腫吸引組(P＜0.05);術後48 h意識好轉率小骨窗開顱手術組高于血腫吸引組(P＜0.05);術後血腫繼續增大者,CT引導血腫吸引組高于小骨窗開顱下手術組(P＜0.05).結論 小骨窗開顱手術清除血腫充分、止血徹底,療效優于CT引導血腫吸引術.
목적 비교소골창개로수술급CT정위미창인류수술치료고혈압기저절구출혈적료효.방법 회고성분석95례고혈압뇌출혈적림상표현、수술방식급료효.결과 소골창개로수술51례,CT인도혈종흡인44례.량조년령、술전혈압、혈종량、술전GCS평분급발병지수술시간균무명현차이(P＞0.05).혈종청제량:소골창개로수술조우우CT혈종흡인조(P＜0.05);술후48 h의식호전솔소골창개로수술조고우혈종흡인조(P＜0.05);술후혈종계속증대자,CT인도혈종흡인조고우소골창개로하수술조(P＜0.05).결론 소골창개로수술청제혈종충분、지혈철저,료효우우CT인도혈종흡인술.
Objective To compare the effect of microsurgical treatment through a small skull window with that of computed tomographic guided aspiration for hypertensive cerebral hemorrhage.Methods The clinical manifestation,operation and prognosis of 95 cases of hypertensive cerebral hemorrhage were analyzed retrospectively.Results The number of microsurgical treatment though a sulall skull window and computed tomographic-guided aspiration were 51 and 44 respectively1 There were no differences in age,blood pressure before operation,size of hematonm,GCS score and time interval before operation of the two groups(P＞0.05).Hematoina was evacuated more thoroughly with the operation of microsurgical treatment through a small skull window than that with computed tomographic-guided aspiration (P＜0.05).The consciousness state elevated for 76.47% patients with the operation of microsurgical treatment through a small skull window and 63.64% patients with computed tomographic-guided aspiration 48 hours after operation(P＜0.05).The rehemorrhage rate of the patients with microsurgical treatment through a small skull window was lower than that of the patients with computed tomographic-guided aspkation(P＜0.05).Conclusion The effect of microsurgery through a small skull window is more satisfactory than that of computed tomographic-guided aspiration.Hematoma could be enough evacuated and exact hemostasis could be achieved with microsurgery through a small skull window.
