CAJ | 학술논문

目的比较定向软通道吸引术与开颅手术治疗高血压脑出血疗效.方法将96例高血压脑出血病例，随机分成定向软通道吸引术组(微创组)和外科开颅手术组(开颅组)，每组根据GCS评分又分为轻、中、重三个亚组，微创组46例，采用定向软通道吸引术，开颅组50例，采用去骨瓣减压术，比较两组近期疗效(1个月)和远期随访(6个月)结果.结果在中、重型高血压脑出血治疗方面，微创组死亡率(6.89%)明显低于开颅组(20.58%)，微创组近期优良率(52.17%)和远期良好率(40.54%)高于开颅组近期优良率(38.00%)和远期良好率(28.57%).而在轻型高血压脑出血治疗上两组无明显差异.结论定向软通道吸引术治疗高血压脑出血较开颅手术组能显著改善中、重型脑出血病人预后，降低了病人致残致死率.
목적비교정향연통도흡인술여개로수술치료고혈압뇌출혈료효.방법장96례고혈압뇌출혈병례，수궤분성정향연통도흡인술조(미창조)화외과개로수술조(개로조)，매조근거GCS평분우분위경、중、중삼개아조，미창조46례，채용정향연통도흡인술，개로조50례，채용거골판감압술，비교량조근기료효(1개월)화원기수방(6개월)결과.결과재중、중형고혈압뇌출혈치료방면，미창조사망솔(6.89%)명현저우개로조(20.58%)，미창조근기우량솔(52.17%)화원기량호솔(40.54%)고우개로조근기우량솔(38.00%)화원기량호솔(28.57%).이재경형고혈압뇌출혈치료상량조무명현차이.결론정향연통도흡인술치료고혈압뇌출혈교개로수술조능현저개선중、중형뇌출혈병인예후，강저료병인치잔치사솔.
Objective: To compare the directional soft channel to attract patients and craniotomy for treatment of hypertensive intracerebral hemorrhage. Methods: 96 cases of hypertensive intracerebral hemorrhage cases were randomly divided into directional and soft channel aspiration group (minimally invasive group) and surgical craniotomy group (craniotomy group), each according to the GCS score were divided into mild, moderate and severe subgroups, the minimally invasive group, 46 cases, using the directional soft channel aspiration, craniotomy group of 50 cases, the use of decompressive craniectomy to compare two sets of short-term effect (1) and long-term follow-up (6 months) results. Results: In the medium and heavy with hypertensive intracerebral hemorrhage treatment, the mortality rate of the minimally invasive group (6.89%) was significantly lower than the craniotomy group (20.58%), minimally invasive group, the recent excellent rate (52.17%) and long term (40.54 %) than in the craniotomy group good rate (38.00%) and long-term good (28.57%). Had no significant difference in the treatment of light with hypertensive intracerebral hemorrhage. Conclusion: The directional soft channel to attract the treatment of hypertensive intracerebral hemorrhage than the craniotomy group can significantly improve the severe cerebral hemorrhage, the prognosis of patients, reducing the rate of patients become ill and die.