立体定向微创血肿清除术治疗脑内小血肿的疗效观察

Observation of the Stereotactic Minimal Invasive Hemorrhage Clearing in Treating Small Intracerebral Hemorrhage

目的探讨应用立体定向微创血肿清除术治疗有严重神经功能障碍的脑内小血肿.方法选择有严重神经功能障碍(CSS≥18)的脑内小血肿病例71例,随机分成2组,分别采用立体定向微创血肿清除术进行治疗(38例)及内科保守治疗(33例).结果立体定向微创血肿清除术在血肿清除速度上明显快于内科保守治疗,1周内血肿减少量分别是74.11%及16.61%,同时神经功能恢复速度亦明显优于内科保守治疗,在1周内CSS下降分别是30.02%及7.32%.结论立体定向微创血肿清除术对脑内小血肿的治疗,在血肿清除速度、神经功能恢复速度上均明显优于内科保守治疗.

ObjectiveTo explore the stereotactic minimal invasive hemorrhage clearing in treating small intracerebral hemorrhage with severe neuro-functional damage(CSS≥18).Methods71 patients with small intracerebral hemorrhage with severe neuro-functional damage(CSS≥18) were divided into two groups at random. One group(n=38) was treated by the stereotactic minimal invasive hemorrhage clearing, the other(n=33) was cured by internal medical treatment.ResultsThe speed of hemorrhage clearing in the first group was fast than the latter,the volume of hemorrhage clearing were (74.11%) and (16.61%) separately in one week. The speed of neuro-functional recovering in the first group was also fast than the latter, the drop in CSS were (30.02%) and (7.32%) respectively in one week.ConclusionThe stereotactic minimal invasive hemorrhage clearing in treating small intracerebral hemorrhage with severe neuro-functional damage was better than the internal medical treatment in the speed of hemorrhage clearing and neuro-functional recovering.