CAJ | 학술논문

　　目的高血压脑出血采用微创治疗的临床疗效探讨。方法我院自2006年5月至2011年6月收治的高血压脑出血患者98例，分为采用微创颅内血肿清除术进行治疗的观察组和行常规开颅术进行治疗对照组，每组患者49例，对两组患者的病死率和预后进行观察。结果术后2—4周观察组的病死率为14.3%，对照组的病死率为32.7%，预后ADL分级评定观察组明显优于对照组，差异均有统计学意义（P＜0.05）。结论微创手术治疗高血压脑出血较常规开颅术疗效更加确切，及早采用微创术治疗高血压脑出血，其法操作简单，创伤小，手术时间短，可以大大降低致残率、病死率，很大程度上提高患者的生存质量。
　　목적고혈압뇌출혈채용미창치료적림상료효탐토。방법아원자2006년5월지2011년6월수치적고혈압뇌출혈환자98례，분위채용미창로내혈종청제술진행치료적관찰조화행상규개로술진행치료대조조，매조환자49례，대량조환자적병사솔화예후진행관찰。결과술후2—4주관찰조적병사솔위14.3%，대조조적병사솔위32.7%，예후ADL분급평정관찰조명현우우대조조，차이균유통계학의의（P＜0.05）。결론미창수술치료고혈압뇌출혈교상규개로술료효경가학절，급조채용미창술치료고혈압뇌출혈，기법조작간단，창상소，수술시간단，가이대대강저치잔솔、병사솔，흔대정도상제고환자적생존질량。
Objective:To investigate the hypertensive intracerebral hemorrhage mining therapeutic effect in patients with minimal y invasive surgery.:Hypertensive intracerebral hemorrhage in 98 patients admitted to our hospital from May 2006 to June 2011,divided into minimal y invasive intracranial hematoma Governance observation group and routine craniotomy for treatment control group,each group of 49 patients,the mortality rate and prognosis of the two groups of patients were observed.Results:2-4 weeks after the observation group mortality was 16.3%,the mortality rate was 34.9%in the control group,the prognosis ADL assessed on a sliding scale in the observation group than the control group,the differences were statistical y significant(P<0.05).Conclusion:Minimal y invasive surgical treatment for hypertensive intracerebral hemorrhage compared with conventional craniotomy efficacy more exact home early minimal y invasive treatment of hypertensive cerebral hemorrhage,can reduce mortality,to a large extent,improve the patient's quality of life.