CAJ | 학술논문

目的：比较不同微创钻孔手术治疗高血压性脑出血的临床疗效。方法纳入合格的高血压性脑出血患者100例。试验组（n＝50）采用微创穿刺血肿抽吸术，术后用尿激酶。对照组（n＝50）行小骨窗开颅血肿清除术。比较2组NIHSS评分、GOS评分以及疗效。结果试验组住院时间、NIHSS评分低于对照组（P＜0.05）。术后1 d血肿变化，试验组明显多于对照组，但术后7 d时，2组比较差异有统计学意义（P＜0.05）。试验组最终残留血肿量低于对照组。结论微创穿刺血肿抽吸术联合尿激酶是有效干预和治疗高血压性脑出血的手术方案，值得在临床中推广。
목적：비교불동미창찬공수술치료고혈압성뇌출혈적림상료효。방법납입합격적고혈압성뇌출혈환자100례。시험조（n＝50）채용미창천자혈종추흡술，술후용뇨격매。대조조（n＝50）행소골창개로혈종청제술。비교2조NIHSS평분、GOS평분이급료효。결과시험조주원시간、NIHSS평분저우대조조（P＜0.05）。술후1 d혈종변화，시험조명현다우대조조，단술후7 d시，2조비교차이유통계학의의（P＜0.05）。시험조최종잔류혈종량저우대조조。결론미창천자혈종추흡술연합뇨격매시유효간예화치료고혈압성뇌출혈적수술방안，치득재림상중추엄。
Objective To compare the efficacy of different minimally invasive operation on hypertensive cerebral hemor-rhage.Methods One hundred patients with hypertensive cerebral hemorrhage were chosen.Case-control retrospective study was used.Treatment group (n= 50) was treated by the minimally invasive puncture hematoma suction ,urokinase was used af-ter operation. The control group(n= 50) was treated by small bone window craniotomy for removal of hematoma. NIHSS score ,GOS scores ,and the differences of overall curative effect of two groups were compared. Results The length of stay in hospital ,and NIHSS score of the treatment group were lower than those of the control group (P< 0.05).At the 1 stday thechange of postoperative hematoma of the treatment group ,was more obvious than that of the control group ,but at the 7th day after surgery ,the changes of postoperative hematoma between the two groups had a statistical significance (P<0.05). The volume of finally residual hematoma of the treatment group was less than that of the control group.Conclusion The minimally invasive puncture hematoma suction combined with urokinase is an effective intervention and treatment of hypertensive cerebral hemorrhage ,and is worth of clinical popularization.