CAJ | 학술논문

目的:探讨微创血肿清除术治疗高血压脑出血(HICH)的临床疗效.方法:选取在我院治疗的HICH患者90例,随机分为治疗组和对照组,治疗组接受微创血肿清除术,对照组接受保守疗法.结果:术后3个月ADL分级中治疗组Ⅰ级、Ⅱ级、Ⅲ级例数明显多于对照组,Ⅳ级及死亡人数明显少于对照组,两者比较差异具有显著性(P<0.05).出血量≤60ml组治疗有效率为96.43%,死亡率为0;出血量>60ml组有效率为47.06%,死亡率为17.65%;两者比较差异均具有显著性(P<0.05).治疗组首次清除率为45%～78%,总清除率为80%～95%.治疗组死亡3例,其中1例24 h内死于脑疝、呼吸衰竭,2例死于术后肺部感染.绪论:微创血肿清除术治疗HICH具有诸多优点,临床应严格掌握适应证及手术时机.
목적:탐토미창혈종청제술치료고혈압뇌출혈(HICH)적림상료효.방법:선취재아원치료적HICH환자90례,수궤분위치료조화대조조,치료조접수미창혈종청제술,대조조접수보수요법.결과:술후3개월ADL분급중치료조Ⅰ급、Ⅱ급、Ⅲ급례수명현다우대조조,Ⅳ급급사망인수명현소우대조조,량자비교차이구유현저성(P<0.05).출혈량≤60ml조치료유효솔위96.43%,사망솔위0;출혈량>60ml조유효솔위47.06%,사망솔위17.65%;량자비교차이균구유현저성(P<0.05).치료조수차청제솔위45%～78%,총청제솔위80%～95%.치료조사망3례,기중1례24 h내사우뇌산、호흡쇠갈,2례사우술후폐부감염.서론:미창혈종청제술치료HICH구유제다우점,림상응엄격장악괄응증급수술시궤.
Objective:To invesgate the clinical curative effects of minimally invasive clear operation in treating hypertensive intracerebral hemorrhage (HICH).Methods:90 cases with hypertensive intracerebral hemorrhage were selected from January 2006 to January 2008,and were divided into the treatment group and control group. The teatment group received the minimally invasive operation,and the control group received the conservative treatment.Results:The patients of grade Ⅰ , Ⅱ and Ⅲ for ADL grade after of three months operation in the treatment group were more than those in the control group,and the dead patients in the treatment group were fewer than those in the control group,so there was significant difference between two groups (P<0.05). The effective power was 96.43% and the death rate was 0 in hemorrhage fewer than 60 ml group,and the effective power was 47.06% and the death rate was 17.65% in hemorrhage moer than 60 ml group,so there was significant difference between two groups (P<0.05). The first time clearance rate of the treatment group was from 45% to 78%, and the total body clearance was from 80% to 95%.The 3 patients were dead,the causes of death in 1 patient was brain hernia and respiratory failure happening in 24h,and the causes of death in 2 patients were pulmonary infections after operations. Conclusion:There are many merits of minimally invasive clear operation in treating RICH, the clinic should use it on foundation of grasping the indication and chance of operation strictively.