中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
10期
58-60
,共3页
改良立体定向%软通道%微创颅内血肿清除术%脑出血
改良立體定嚮%軟通道%微創顱內血腫清除術%腦齣血
개량입체정향%연통도%미창로내혈종청제술%뇌출혈
Improved stereotactic%Soft channel%Minimally invasive intracerebral hemorrhage%Cerebral hemorrhage
目的：探讨改良立体定向软通道微创颅内血肿清除术治疗高血压脑出血的临床效果。方法选择2012年2月~2014年2月本院收治的70例高血压脑出血患者作为观察组，行改良立体定向软通道微创颅内血肿清除术治疗；选取同期收治的同症70例高血压脑出血患者作为对照组，行硬通道微创下颅内血肿清除术治疗。观察两组近、远期临床疗效。结果观察组存活64例(91.43%)，死亡6例(8.57%)；对照组存活55例(78.57%)，死亡15例(21.43%)，两组比较差异有统计学意义(P<0.05)。观察组预后良好率为90.62%，明显高于对照组的81.82%，差异有统计学意义(P<0.05)。结论对脑出血患者应用改良立体定向软通道微创颅内血肿清除术治疗，临床效果确切，术后生存率较高，可显著提高术后远期生活质量，值得临床推广应用。
目的：探討改良立體定嚮軟通道微創顱內血腫清除術治療高血壓腦齣血的臨床效果。方法選擇2012年2月~2014年2月本院收治的70例高血壓腦齣血患者作為觀察組，行改良立體定嚮軟通道微創顱內血腫清除術治療；選取同期收治的同癥70例高血壓腦齣血患者作為對照組，行硬通道微創下顱內血腫清除術治療。觀察兩組近、遠期臨床療效。結果觀察組存活64例(91.43%)，死亡6例(8.57%)；對照組存活55例(78.57%)，死亡15例(21.43%)，兩組比較差異有統計學意義(P<0.05)。觀察組預後良好率為90.62%，明顯高于對照組的81.82%，差異有統計學意義(P<0.05)。結論對腦齣血患者應用改良立體定嚮軟通道微創顱內血腫清除術治療，臨床效果確切，術後生存率較高，可顯著提高術後遠期生活質量，值得臨床推廣應用。
목적：탐토개량입체정향연통도미창로내혈종청제술치료고혈압뇌출혈적림상효과。방법선택2012년2월~2014년2월본원수치적70례고혈압뇌출혈환자작위관찰조，행개량입체정향연통도미창로내혈종청제술치료；선취동기수치적동증70례고혈압뇌출혈환자작위대조조，행경통도미창하로내혈종청제술치료。관찰량조근、원기림상료효。결과관찰조존활64례(91.43%)，사망6례(8.57%)；대조조존활55례(78.57%)，사망15례(21.43%)，량조비교차이유통계학의의(P<0.05)。관찰조예후량호솔위90.62%，명현고우대조조적81.82%，차이유통계학의의(P<0.05)。결론대뇌출혈환자응용개량입체정향연통도미창로내혈종청제술치료，림상효과학절，술후생존솔교고，가현저제고술후원기생활질량，치득림상추엄응용。
Objective To investigate the clinical effect of improved stereotactic soft channel minimally invasive intrac-erebral hemorrhage in treatment of hypertensive cerebral hemorrhage. Methods 70 cases of patients with hypertensive cerebral hemorrhage in our hospital from February 2012 to February 2014 were selected as observation group,and were given with improved stereotactic soft channel minimally invasive intracerebral hemorrhage;70 cases patients wiht hyper-tensive cerebral hemorrhage in our hospital at the same time were selected as control group,and were given with hard-ware channel minimally invasive intracerebral hemorrhage.The clinical curative effect of short-term and long-term be-tween two groups was compared. Results 64 cases (91.43%) were survived and 6 cases (8.57%) were died in observa-tion group,55 cases (78.57%) were survived and 15 cases (21.43%) were died in control group,the two groups had sig-nificant difference (P<0.05).The good rate of prognosis in observation group was 90.62%,higher than 81.82%of control group,the difference was significant (P<0.05). Conclusion Improved stereotactic soft channel minimally invasive intrac-erebral hemorrhage in treatment of cerebral hemorrhage has a good effect,has higher survival rate,and can significantly improve the quality of long-term,so it is worthy of clinical application and promotion.
