CAJ | 학술논문

目的观察定向软通道微创颅内血肿清除术治疗高血压脑出血的疗效。方法选择我院2013‐01—2014‐01收治的48例高血压脑出血患者，按照随机数字法分组，每组24例，观察组采取定向软通道微创颅内血肿清除术治疗，对照组采取传统大骨瓣开颅血肿清除术治疗，比较2组疗效及病死率。结果观察组术中出血量、手术时间、住院时间分别为（56.7±15.6）mL、（22.5±7.9）min、（21.9±7.6）d ，均明显低于对照组（89.9±22.1）mL、（235.7±27.4）min、（27.8±8.5）d（均 P＜0.05）；观察组经治疗后，疗效明显优于对照组；观察组不良反应9例（37.5％），死亡1例（4.2％），均显著低于对照组的13例（54.2％）、3例（12.5％）。结论定向软通道微创颅内血肿清除术治疗高血压脑出血疗效较佳，患者预后好，不良反应及病死率较低。
목적관찰정향연통도미창로내혈종청제술치료고혈압뇌출혈적료효。방법선택아원2013‐01—2014‐01수치적48례고혈압뇌출혈환자，안조수궤수자법분조，매조24례，관찰조채취정향연통도미창로내혈종청제술치료，대조조채취전통대골판개로혈종청제술치료，비교2조료효급병사솔。결과관찰조술중출혈량、수술시간、주원시간분별위（56.7±15.6）mL、（22.5±7.9）min、（21.9±7.6）d ，균명현저우대조조（89.9±22.1）mL、（235.7±27.4）min、（27.8±8.5）d（균 P＜0.05）；관찰조경치료후，료효명현우우대조조；관찰조불량반응9례（37.5％），사망1례（4.2％），균현저저우대조조적13례（54.2％）、3례（12.5％）。결론정향연통도미창로내혈종청제술치료고혈압뇌출혈료효교가，환자예후호，불량반응급병사솔교저。
Objective To investigate the curative effect of directional soft channel minimally invasive removal of intracrani‐al hematoma on treating patients with hypertensive intracerebral hemorrhage. Methods 48 patients with hypertensive cerebral hemorrhage in our hospital from 2013 January to 2014 January were divided into control group (n=24, treated with conven‐tional big bone flap craniotomy hematoma removal) and observation group (n=24, directional soft channel minimally invasive removal of intracranial hematoma). The curative effect and mortality of two groups were compared. Results The bleeding a‐mount, operation time and hospitalization time in the observation group were lower than these in the control group (56.7 mL ± 15.6 mL vs 89.9 mL ± 22.1 mL, 22.5 min ± 7.9 min vs 235.7 min ± 27.4 min, 21.9d ± 7.6d vs 27.8d ± 8.5d). The cura‐tive effect of observation group was better than that of control group. The adverse reaction and mortality of observation group were lower than these of control group (9 cases vs 13 cases, 1 case vs 3 cases). Conclusion The directional soft channel mini‐mally invasive intracranial hematoma has better curative effect, lower adverse reaction and mortality on treating patients with hypertensive cerebral hemorrhage.