中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
14期
2150-2152
,共3页
外科手术,微创性%神经外科手术%颅内出血,高血压性
外科手術,微創性%神經外科手術%顱內齣血,高血壓性
외과수술,미창성%신경외과수술%로내출혈,고혈압성
Surgical procedures,minimally invasive%Neurosurgical procedures%Hypertensive intracranial hemorrhage
目的 比较微创血肿淬吸术与开颅血肿清除术治疗高血压基底节区脑出血的疗效.方法 92例高血压基底节区脑出血行手术治疗患者按手术方式不同分为两组:微创组46例,开颅组46例,观察两组病死率、并发症及术后3个月的日常生活活动能力(ADL)评分.结果 微创组病死率较开颅组低(8.7％与21.7％,P＜0.05),微创组术后再出血、肺部感染等并发症的发生率低于开颅组(均P＜0.05),微创组术后3个月ADL评分较开颅组高[(85.53±13.47)分与(56.12±11.72)分,P＜0.05].结论 微创血肿淬吸术治疗高血压基底节区脑出血创伤小,可降低患者的病死率、减少术后并发症,提高患者生存质量,治疗高血压脑出血较开颅血肿清除术疗效更好.
目的 比較微創血腫淬吸術與開顱血腫清除術治療高血壓基底節區腦齣血的療效.方法 92例高血壓基底節區腦齣血行手術治療患者按手術方式不同分為兩組:微創組46例,開顱組46例,觀察兩組病死率、併髮癥及術後3箇月的日常生活活動能力(ADL)評分.結果 微創組病死率較開顱組低(8.7％與21.7％,P＜0.05),微創組術後再齣血、肺部感染等併髮癥的髮生率低于開顱組(均P＜0.05),微創組術後3箇月ADL評分較開顱組高[(85.53±13.47)分與(56.12±11.72)分,P＜0.05].結論 微創血腫淬吸術治療高血壓基底節區腦齣血創傷小,可降低患者的病死率、減少術後併髮癥,提高患者生存質量,治療高血壓腦齣血較開顱血腫清除術療效更好.
목적 비교미창혈종쉬흡술여개로혈종청제술치료고혈압기저절구뇌출혈적료효.방법 92례고혈압기저절구뇌출혈행수술치료환자안수술방식불동분위량조:미창조46례,개로조46례,관찰량조병사솔、병발증급술후3개월적일상생활활동능력(ADL)평분.결과 미창조병사솔교개로조저(8.7％여21.7％,P＜0.05),미창조술후재출혈、폐부감염등병발증적발생솔저우개로조(균P＜0.05),미창조술후3개월ADL평분교개로조고[(85.53±13.47)분여(56.12±11.72)분,P＜0.05].결론 미창혈종쉬흡술치료고혈압기저절구뇌출혈창상소,가강저환자적병사솔、감소술후병발증,제고환자생존질량,치료고혈압뇌출혈교개로혈종청제술료효경호.
Objective To compare the effect of minimally invasive hematoma the quenching aspiration and hematoma evacuation in the treatment of hypertensive basal ganglia brain hemorrhage.Methods 92 patients with hypertensive cerebral basal ganglia hemorrhage underwent surgical treatment were randomly divided into two groups:minimally invasive quenching suction group of 46 patients,craniotomy group of 46 patients.The mortality,complications and activities of daily living(ADL) postoperative three months were observed.Results The mortality rate of the minimally invasive quenching suck group was lower than that of the craniotomy group (8.7％ vs 21.7％,P ＜ 0.05).The postoperative rebleeding and the incidence rate of complications such as lung infections in the minimally invasive quenching suction group were lower than those of the craniotomy group(all P ＜ 0.05).ADL score 3 months postoperatively of the minimally invasive quenching suction group was higher than that of the craniotomy group [(85.53 ± 13.47) points vs (56.12 ± 11.72) points,P ＜ 0.05].Conclusion Minimally invasive hematoma the quenched aspiration in treatment of hypertensive basal ganglia brain bleeding trauma can reduce the mortality,reduce the occurrence of postoperative complications,increase quality of life in patients,has better efficacy for treatment of hypertensive intracerebral hemorrhage.
