CAJ | 학술논문

脑出血(intracerebral hemorrhage,ICH)是第2位常见的卒中类型,其病死率很高.基线血肿体积和血肿增大是患者转归不良的预测因素.早期研究显示,手术血肿清除可缩小血肿体积并改善转归.然而,最近的几项颅骨切除血肿清除术治疗ICH的随机对照试验和汇总分析均显示其并不比保守治疗更能获益.微创血肿清除术治疗ICH的早期证据提示其对ICH患者具有潜在的益处,但还需要进一步的研究确认.
뇌출혈(intracerebral hemorrhage,ICH)시제2위상견적졸중류형,기병사솔흔고.기선혈종체적화혈종증대시환자전귀불량적예측인소.조기연구현시,수술혈종청제가축소혈종체적병개선전귀.연이,최근적궤항로골절제혈종청제술치료ICH적수궤대조시험화회총분석균현시기병불비보수치료경능획익.미창혈종청제술치료ICH적조기증거제시기대ICH환자구유잠재적익처,단환수요진일보적연구학인.
Intracerebral hemorrhage (ICH) is the second most common type of stroke,and its fatality is high.The baseline hematoma volume and hematoma growth are the predictive factors for the poor outcome of the patients.Previous studies have shown that surgical evacuation of hematoma can reduce the hematoma volume and improve the outcome.However,several recent randomized controlled trials of craniotomy hematoma evacuation for ICH and a Meta-analysis have shown that it is no more beneficial than conservative treatment.The previous evidence of minimally invasive evacuation of hematoma for the treatment of ICH has suggested that it has potential benefits for patients with ICH; however,further research is needed to confirm it.