微创清除术治疗颅内血肿的效果分析

Effect of microinvasive surgery on intracranial hematoma

目的:探讨颅内血肿微创清除术对颅内血肿患者的临床疗效。方法:将92例脑出血患者随机分成观察组(n=46)和对照组(n=46)。对照组采用内科保守治疗,观察组在保守治疗基础上采用颅内血肿微创穿刺清除术进行治疗,随访观察比较两组的治疗效果。结果:观察组的神经功能缺损评分、2月后的治疗效果均明显优于对照组(P<0.05),并且观察组死亡率及肺部感染,电解质紊乱,多器官功能衰竭等并发症均明显少于对照组(P<0.05)。结论:颅内血肿微创清除术对脑出血的疗效确切,早期应用可以降低死亡率和并发症的发生率,值得临床推广应用。

Objective： To observe the clinical efficacy of the microinvasive surgery on intracranial hematoma. Methods： A total of 92 patients with cerebral hemorrhage were randomly divided into observation group （n=46） and control group （n=46）. Conservative treatment was performed to patients in control group, while patients in treatment group were treated by conservative treatment of intracranial hematoma on the basis of microinvasive surgery. The follow-up was carried out to observe and compare effects. Results. After treatment, the neurological deficit score. Efficacy after 2 months of treatment were significantly more satisfactory in treatment group than the control group （P〈0.05）, and the mortality and inci dence of pulmonary infection, electrolyte imbalance, multiple organ failure and other complications were significantly lower than the control group （P〈0. 05）. Conclusions： Minimally invasive surgery for in- tracranial hematoma brain hemorrhage is effective, early application can reduce the incidence of mortality and incidence of complications. It is worthy of clinical application.