CT定位抽吸术治疗脑出血效果观察（附64例对比分析）

CURATIVE EFFECT OF NEEDLE ASPIRATION OFINTRA-CEREBRAL HEMATOMA AFTER CT LOCALIZATION

本文对ＣＴ定位下抽吸术治疗和内科保守治疗脑出血各６４例的效果进行了观察及回顾性对比分析。结果显示，两组病情属轻型者病死率及总有效率无显著性差异；病情属中、重者抽吸组总有效率均高于保守组（Ｐ值分别＜０．０５，０．０１）。两组病死率比较，无显著性差异，但抽吸组有降低趋势。抽吸术改变了血肿量与病死率正相关的传统观念，超早期抽吸术是降低病死率，提高生存质量的关键。

A comparative analysis of curative effect of intracerebral hematoma。 Treat-ment methods in each 64 cases treated in the conservative way,and treated with needle an-piration after CT accurate localization,was made retrospectively.The results indicated:there was no significant difference in mortality as well as in the general effectiveness oftreatment in those mild cases in these two groups.But,needle aspirationg group of inter-mediate and severe cases did show better curative effects(P<0.05 and 0.01respectively).Although,in comparison, no significant difference in mortality was shownstatistically, it tended to be lower in the aspiration group.Traditional expectation thathematoma volume is positively correlated with mortality seemed to have been changed withthe advent of needle aspiration method of treatment.Aspiration done soon after the onsetof brain hemorrhage is crucial in lowering its mortality and in improving quality of life af-ter recovery。