CAJ | 학술논문

目的：比较高血压引发的脑出血的两种手术方法的治疗效果，为临床治疗提供依据。方法将212例高血压脑出血患者分为开颅组与YL-1型一次性穿刺针穿刺组，根据术前出血部位、血肿量、CT扫描及意识状况分别采取骨瓣开颅血肿清除术和YL-1颅内穿刺术，观察术后24h FAM、ADL评分，了解患者预后情况。结果 YL-1颅内穿刺组术后24h FAM评分、ADL比例明显高于延后开颅组（P＜0.05）；YL-1颅内穿刺组死亡3/102（2.94%），早期开颅组术后死亡12/58（20.68%），延后术后死亡16/52（30.76%），死亡率，早期组与延后组均高于YL-1颅内穿刺组（P＜0.05）。结论早期进行微创YL-1颅内穿刺手术治疗能有效治疗高血压脑出血患者。
목적：비교고혈압인발적뇌출혈적량충수술방법적치료효과，위림상치료제공의거。방법장212례고혈압뇌출혈환자분위개로조여YL-1형일차성천자침천자조，근거술전출혈부위、혈종량、CT소묘급의식상황분별채취골판개로혈종청제술화YL-1로내천자술，관찰술후24h FAM、ADL평분，료해환자예후정황。결과 YL-1로내천자조술후24h FAM평분、ADL비례명현고우연후개로조（P＜0.05）；YL-1로내천자조사망3/102（2.94%），조기개로조술후사망12/58（20.68%），연후술후사망16/52（30.76%），사망솔，조기조여연후조균고우YL-1로내천자조（P＜0.05）。결론조기진행미창YL-1로내천자수술치료능유효치료고혈압뇌출혈환자。
Objective To compare and discuss the curative effect of two surgical procedures in the treatment of hypertensive cerebral hemorrhage so as to provide proofs for clinical treatment. Methods 212 patients with hypertensive cerebral hemorrhage were allocated to craniotomy group and YL-1 disposable needle puncture group. The two groups received craniotomy accompanied by cranioplasty and YL-1 intracranial puncture respectively based on bleeding positions, volume of hematoma, CT scanning results and consciousness before the surgery. Postoperative 24-hour FAM and ADL scores were observed and patients’prognosis was acquired. Results Postoperative 24-hour FAM scores and ADL proportion in the YL-1 intracranial puncture group were both significantly higher than those in the postponed craniotomy group(P<0.05);death cases of the YL-1 intracranial puncture group were 3/102 (2.94%), death cases of early craniotomy group were 12/58(20.68%), and death cases of postponed craniotomy group were 16/52(30.76%). The mortality rate in the early and postponed groups were all higher than that in the YL-1 intracranial puncture group(P<0.05). Conclusion Early operation of minimally invasive YL-1 intracranial puncture is effective in treating patients with hypertensive cerebral hemorrhage.