白求恩军医学院学报
白求恩軍醫學院學報
백구은군의학원학보
JOURNAL OF BETHUNE MILITARY MEDICAL COLLEGE
2013年
4期
306-308
,共3页
微创治疗%高血压性脑出血%保守治疗
微創治療%高血壓性腦齣血%保守治療
미창치료%고혈압성뇌출혈%보수치료
Minimally invasive treatment%Hypertensive intracerebral hemorrhage%Conservative treatment
目的分析微创术治疗高血压性脑出血的临床疗效。方法将90例高血压性脑出血患者随机分为微创组和保守组,各45例。微创组术前根据CT定位穿刺部位及深度,局麻下行穿刺吸出血肿液体并引流;保守组采用内科保守治疗。于治疗前及治疗28 d后对两组患者进行神经功能缺损程度评分,评价两组疗效。结果微创组治疗总有效率为82.22%(37/45);保守组总有效率为53.33%(24/45)。微创组总有效率明显高于保守组( P <0.01)。结论微创术治疗高血压性脑出血具有创口小,损伤轻,可在较短时间内有效清除血肿,解除占位效应,预后较好。
目的分析微創術治療高血壓性腦齣血的臨床療效。方法將90例高血壓性腦齣血患者隨機分為微創組和保守組,各45例。微創組術前根據CT定位穿刺部位及深度,跼痳下行穿刺吸齣血腫液體併引流;保守組採用內科保守治療。于治療前及治療28 d後對兩組患者進行神經功能缺損程度評分,評價兩組療效。結果微創組治療總有效率為82.22%(37/45);保守組總有效率為53.33%(24/45)。微創組總有效率明顯高于保守組( P <0.01)。結論微創術治療高血壓性腦齣血具有創口小,損傷輕,可在較短時間內有效清除血腫,解除佔位效應,預後較好。
목적분석미창술치료고혈압성뇌출혈적림상료효。방법장90례고혈압성뇌출혈환자수궤분위미창조화보수조,각45례。미창조술전근거CT정위천자부위급심도,국마하행천자흡출혈종액체병인류;보수조채용내과보수치료。우치료전급치료28 d후대량조환자진행신경공능결손정도평분,평개량조료효。결과미창조치료총유효솔위82.22%(37/45);보수조총유효솔위53.33%(24/45)。미창조총유효솔명현고우보수조( P <0.01)。결론미창술치료고혈압성뇌출혈구유창구소,손상경,가재교단시간내유효청제혈종,해제점위효응,예후교호。
Objective To analyze the curative effects of minimally invasive surgery in the treatment of hypertensive cerebral hemorrhage .Methods Ninety patients with hypertensive intracerebral hemorrhage were randomly divided into minimally invasive group in which the patients received local anesthesia and punctured according to the result of preoperative CT which located the position and sucked out hematoma liquid and drained .The conservative group in which the patients received conservative medical therapy .The pa-tients’ nerve function defect in both groups was evaluated before the treatment and after 28-day treatment , and so was the curative effects.Results The total effective rate of the patients in the minimally group 82.22%(37/45) was obviously higher than that of the patients in the conservative group 53.33% (24/45) ( P <0.01).Conclusion Minimally invasive surgery has the advantages of small wound,mild injury,clearing up the hematoma and removing occupied effect in a short time has a better prognosis .