高血压脑出血微创抽吸术与内科疗法及开颅手术疗效比较

Contrast study on the effect of minimally puncture-aspiration,medicine and craniotomy for hypertension intracerebral hemorrhage

目的比较微创抽吸术与内科保守疗法及开颅手术疗法的疗效。方法回顾性总结1996—1999年内科保守治疗105例,2000—2006年传统开颅手术治疗75例,微创抽吸术治疗89例,比较病人的病死率、日常生活能力等情况。结果内科组死亡27例(25.7%),传统开颅组死亡13例(17.3%),微创组死亡12例(13.5%)。手术组与内科组相比均有差异(P<0.01),微创组与开颅组相比,无明显差异。而日常生活改善良好率,微创组(76.6%)与开颅组(43.5%)及内科组(42.8%)相比均有明显差异(P<0.01)。结论手术能明显降低高血压脑出血病死率,而微创组在改善日常生活能力方面有明显疗效。

Objective To compare the effect of minimally puncture-aspiration with medicine and craniotomy in hypertensive intraeerebral hemorrhage. Methods From 1996 to 1999,105 patients of hypertensive intracerebral hemorrhage accepted the treatment of medicine. Form 2000 to 2006, 75 patients and 89 patients of hypertensive intracerebral hemorrhage accepted the craniotomy and puncture-aspiration. We investigated the death rate and activity of daily life. Results By medicine 27 patients （25.7%） died; 13 patients （17.3%）died in craniotomy; 12 patients （13.5%） died in puncture-aspiration. 76.6% patients in puncture-aspiration group recovered well, and 42.8% patients in medicine group recovered well, and 43.5 % patients in craniotomy group recovered well. Conclusion The operation can reduce death rate and minimally puncture-aspiration can improve life quality.