中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
2期
10-10,12
,共2页
高血压性脑出血%颅内血肿微创清除术%临床疗效
高血壓性腦齣血%顱內血腫微創清除術%臨床療效
고혈압성뇌출혈%로내혈종미창청제술%림상료효
Hypertensive cerebral hemorrhage%Minimally invasive surgery of intracranial hematoma%Clinical curative effect
目的：探讨高血压性脑出血颅内血肿微创清除术的临床疗效。方法：2008年5月-2013年11月收治高血压脑出血患者168例，根据随机数字表法分组。参照组给予常规开颅血肿清除术治疗，研究组给予颅内血肿微创清除术治疗。对比两组患者手术和预后情况的差异性。结果：研究组总有效率98.8%，明显高于参照组78.6%，差异有统计学意义(P＜0.05)。研究组手术时间(94.2±20.6)min，明显短于参照组(151.6±42.7)min；术中出血量(42.2±10.2)mL，明显少于参照组(246.1±78.8)mL，差异有统计学意义(P＜0.05)。结论：高血压性脑出血颅内血肿微创清除术的临床疗效确切，具有创伤小，缩短手术时间和提高临床疗效的作用，值得推广。
目的：探討高血壓性腦齣血顱內血腫微創清除術的臨床療效。方法：2008年5月-2013年11月收治高血壓腦齣血患者168例，根據隨機數字錶法分組。參照組給予常規開顱血腫清除術治療，研究組給予顱內血腫微創清除術治療。對比兩組患者手術和預後情況的差異性。結果：研究組總有效率98.8%，明顯高于參照組78.6%，差異有統計學意義(P＜0.05)。研究組手術時間(94.2±20.6)min，明顯短于參照組(151.6±42.7)min；術中齣血量(42.2±10.2)mL，明顯少于參照組(246.1±78.8)mL，差異有統計學意義(P＜0.05)。結論：高血壓性腦齣血顱內血腫微創清除術的臨床療效確切，具有創傷小，縮短手術時間和提高臨床療效的作用，值得推廣。
목적：탐토고혈압성뇌출혈로내혈종미창청제술적림상료효。방법：2008년5월-2013년11월수치고혈압뇌출혈환자168례，근거수궤수자표법분조。삼조조급여상규개로혈종청제술치료，연구조급여로내혈종미창청제술치료。대비량조환자수술화예후정황적차이성。결과：연구조총유효솔98.8%，명현고우삼조조78.6%，차이유통계학의의(P＜0.05)。연구조수술시간(94.2±20.6)min，명현단우삼조조(151.6±42.7)min；술중출혈량(42.2±10.2)mL，명현소우삼조조(246.1±78.8)mL，차이유통계학의의(P＜0.05)。결론：고혈압성뇌출혈로내혈종미창청제술적림상료효학절，구유창상소，축단수술시간화제고림상료효적작용，치득추엄。
Objective:To investigate the clinical effect of minimally invasive surgery of intracranial hematoma in hypertensive cerebral hemorrhage.Methods:168 patients with hypertensive cerebral hemorrhage were selected from May 2008 to November 2013.The were randomly divided into groups according to the random digits table method.The reference group were given routine craniotomy hematoma removal treatment.Patients in the study group were given the treatment of intracranial hematoma minimally invasive surgery.We compared the differences of the operation and prognosis between the two groups.Results:The total efficiency of the study group was 98.8% ,which was significantly higher than that of the reference group 78.6% ,and the difference was statistically significant(P<0.05).The operation time of the study group was(94.2±20.6)min,which was significantly shorter than that of the control group(151.6±42.7)min;the amount of bleeding during operation was(42.2±10.2)mL,which was significantly less than that of the reference group(246.1 ± 78.8)mL,and the difference was statistically significant(P<0.05).Conclusion:The clinical curative effect of the hypertensive cerebral hemorrhage minimally invasive surgery of intracranial hematoma is precise, and with small trauma.It can shorten the operation time and improve the clinical curative effect.So it is worthy of promoting.
