CAJ | 학술논문

目的探讨软通道与硬通道微创技术治疗高血压脑出血的临床疗效及其相关并发症.方法纳入122例有微创手术指征的高血压脑出血患者,其中软通道治疗组64例,硬通道治疗组58例.观察两组病例治疗后的临床疗效、保留置管时间及其手术相关并发症,如再出血、颅内感染、颅内积气、脑脊液漏、穿刺部位感染等.结果软通道组治疗前NIHSS评分18.05±7.77,治疗后NIHSS评分7.57±4.68,住院期间病死率17.19%,血肿穿刺置管天数(4.35±1.56)d,侧脑室穿刺置管天数(7.67±2.37)d,再出血4例,颅内感染3例;硬通道组治疗前NIHSS评分18.38±9.02,治疗后NIHSS评分8.02±4.84,住院期间病死率20.69%,血肿穿刺置管天数(4.07±1.49)d,侧脑室穿刺置管天数(8.17±2.55)d,再出血9例,颅内感染2例,两组各项指标比较,差异均无统计学意义(P＞0.05).结论软通道与硬通道微创技术治疗高血压脑出血具有同等的临床应用价值.
목적 탐토연통도여경통도미창기술치료고혈압뇌출혈적림상료효급기상관병발증.방법 납입122례유미창수술지정적고혈압뇌출혈환자,기중연통도치료조64례,경통도치료조58례.관찰량조병례치료후적림상료효、보류치관시간급기수술상관병발증,여재출혈、로내감염、로내적기、뇌척액루、천자부위감염등.결과 연통도조치료전NIHSS평분18.05±7.77,치료후NIHSS평분7.57±4.68,주원기간병사솔17.19%,혈종천자치관천수(4.35±1.56)d,측뇌실천자치관천수(7.67±2.37)d,재출혈4례,로내감염3례;경통도조치료전NIHSS평분18.38±9.02,치료후NIHSS평분8.02±4.84,주원기간병사솔20.69%,혈종천자치관천수(4.07±1.49)d,측뇌실천자치관천수(8.17±2.55)d,재출혈9례,로내감염2례,량조각항지표비교,차이균무통계학의의(P＞0.05).결론 연통도여경통도미창기술치료고혈압뇌출혈구유동등적림상응용개치.
Objective Soft and hard channel minimally invasive interventions for patients with hypertensive intracerebral hemorrhage have been used for many years. A retrospective study was performed to evaluate the superiority of these two methods. Methods 122 patients with hypertensive intracerebral hemorrhage were included in this retrospective study, 64 cases in soft channel group and 58 cases in hard channel group. The clinical effects were compared; catheter retention time and complications of the minimally invasive surgery were also observed in these two groups. Results In soft channel group, NIHSS before the treatment was 18.05±7.77, and NIHSS after the treatment was 7.57±4.68. The mortality was 17.19%. The catheter retention time in hematoma puncture was (4.35±1.56)days, and the catheter retention time in ventricle puncture was (7.67±2.37)days. There were 4 cases of rebleeding and 3 cases of intracranial infection. In hard channel group, NIHSS before the treatment was 18.38±9.02, and NIHSS after the treatment was 8.02±4.84. The mortality was 20.69%. The catheter retention time in hematoma puncture was (4.07±1.49)days, and the catheter retention time in ventricle puncture was (8.17±2.55)days. There were 9 cases of rebleeding and 2 cases of intracranial infection. The differences were not statistically significant (P＞0.05). Conclusions Soft and hard channel minimally invasive interventions of hypertensive cerebral hemorrhage have the same clinical value.