CAJ | 학술논문

目的探讨立体定向手术治疗高血压脑出血的临床疗效. 方法湖北省襄阳市中心医院神经外科自2010年2月至2013年2月收治高血压脑出血患者160例,其中采用立体定向手术治疗100例(治疗组),采用内科保守治疗60例(对照组),回顾性分析2组患者的其临床资料并比较其血肿消除时间、死亡率和疗效. 结果与对照组比较,治疗组患者血肿消除时间较短,差异有统计学意义(P＜0.05).治疗组死亡19例(19％),对照组死亡20例(33.33％),比较差异有统计学意义(P＜0.05).治疗组治疗后痊愈或存留轻度残疾39例(39％);对照组治疗后痊愈或轻度残疾者16例(26.67％),治疗组痊愈或轻度残疾者比例明显高于对照组,差异有统计学意义(P＜0.05). 结论立体定向手术治疗高血压脑出血,可提高患者生存质量,降低病死率,临床疗效优于内科保守治疗.
목적 탐토입체정향수술치료고혈압뇌출혈적림상료효. 방법 호북성양양시중심의원신경외과자2010년2월지2013년2월수치고혈압뇌출혈환자160례,기중채용입체정향수술치료100례(치료조),채용내과보수치료60례(대조조),회고성분석2조환자적기림상자료병비교기혈종소제시간、사망솔화료효. 결과 여대조조비교,치료조환자혈종소제시간교단,차이유통계학의의(P＜0.05).치료조사망19례(19％),대조조사망20례(33.33％),비교차이유통계학의의(P＜0.05).치료조치료후전유혹존류경도잔질39례(39％);대조조치료후전유혹경도잔질자16례(26.67％),치료조전유혹경도잔질자비례명현고우대조조,차이유통계학의의(P＜0.05). 결론 입체정향수술치료고혈압뇌출혈,가제고환자생존질량,강저병사솔,림상료효우우내과보수치료.
Objective To investigate the clinical effect ofstereotactic operation on treatment of hypertensive cerebral hemorrhage.Methods One hundred and sixty patients with hypertensive cerebral hemorrhage,admitted to our hospital from February 2010 to February 2013,were chosen;according to the different treatment methods,they were divided into treatment group (n=100,treated by stereotactic operation) and control group (n=60,performed conventional treatment).Their clinical data were retrospectively analyzed,and the hematoma elimination time,mortality rate and treatment efficacy were compared between the two groups.Results As compared with that in the control group,the hematoma elimination time was significantly shorter in the treatment group (P＜0.05).Nineteen patients (19％) in the treatment group died and 20 patients (33.33％) in the control group died with significant differences (P＜0.05).Good recovery/mild disability was noted in 39 patients of the treatment group,counting for 39％,and that was noted in 16 patients of the control group,counting for 26.67％.The curative effect of treatment group was significantly better than that of the control group (P＜0.05).Conclusion Stereotactic operation in treatment of hypertensive cerebral hemorrhage enjoys clinical curative effect,which can improve the quality of life and reduce the mortality rate; its clinical curative effect is better than that of conservative treatment of hypertensive cerebral hemorrhage in the Department of internal medicine.