微创颅内血肿清除术治疗脑出血46例疗效观察

Observation of the Intracranial Hematoma after A Minimally Invasive Procedure in 46 Cases with Cerebral Hemorrhage

目的观察微创颅内血肿清除术治疗脑出血的疗效。方法91例脑出血患者随机分为治疗组和对照组,分别采用微创颅内血肿清除术和内科保守治疗。结果治疗组的治愈率为58.7%,显著高于对照组15.6%(P<0.001),而致残率(15.2%)和死亡率(26.1%)则显著低于对照组的35.6%和48.9%(P均<0.01)。治疗组发生肺部感染、消化道出血、急性肾功能衰竭及再出血等并发症的比率与对照组相似,两组比较差异无统计学意义(P均>0.05))。结论微创颅内血肿清除术是治疗脑出血的有效措施,值得在临床推广应用。

Objective To evaluate the minimally invasive procedure in treatment of cerebral hemorrhage. Methods 91 subjects with cerebral hemorrhage were divided randomly into the treatment group receiving minimal invasive intracranial hematoma removal procedure and the control group. Results （1）The rate of recovery in the treatment group was significantly higher than the control group （58.7% vs 15.6%, P〈0.001 ）, while the rate of handicap and the mortality in the treatment group was significantly lower than the control group （15.2% vs 35.6% ,26.1% vs 48.9% ,P 〈0.01）. （2）Significant difference in the incidence of complications of lung infection,gastrointestinal hemorrhage, acute renal failure and re-hemorrhage was not observed （P〉0.05）. Conclusion Minimally invasive procedure is suitable for the removal of intracranial hematoma, and it may further be developed for use in clinic.