软通道微创介入技术在颅内血肿清除术中的应用

The clinical study on the treatment of cerebral hemorrhage by minimally invasive surgery

目的评价软通道微创介人技术在高血压脑出血穿刺引流中的应用价值。方法40例天幕上脑出血患者随机分为微创组及保守组各20例.微创组使用软通道颅内血肿微创穿刺针进行穿刺引流,保守组使用药物保守治疗,比较两种治疗方法的疗效。结果微创组的总有效率(85%)较保守组高(50%)(P<0.01),而且微创组病死率(10%)也明显低于保守组(25%)(P<0.01)。结论软通道颅内血肿微创介入技术治疗高血压脑出血.疗效优于保守治疗,并具有损伤小、见效快等优点,值得进一步推广应用。

Objective To evaluate the effectiveness of minimally invasive therapy on treating hypertensive cerebral hemorrhage. Methods 40 cases hypertensive cerebral hemorrhage were randomly divided into two groups, 20 cases were received the minimally invasive drainage therapy and 20 cases medicine therapy. Results Effective rate was high（P 〈 0.01 ） and mortality rate was low（P 〈 0.01 ） in the minimally invasive therapy groups than the groups with medicine therapy. Conclusion Minimal invasive therapy for hypertensive cerebral hemorrhage has great superiority over the medicine therapy, such as it can eliminate most part of the hematoma and avoid or decrease complications and it is mild and effective. It can be further applied in basic hospitals.