改良微创颅内血肿清除术治疗大量脑出血26例疗效观察

Observation of Curative Effect on 26 Cases of Massive Cerebral Hemorrhage with Improved Micro Intracranical Evacuation of Hematoma

目的:探讨微创颅内血肿清除术应用于治疗高血压大量脑出血的可行性。方法:选择26例微创手术治疗的,和24例小骨窗手术治疗的高血压脑出血病例,从格拉斯哥评分、再出血机率、血肿残留量、颅内感染率、死亡率5个方面进行对比。结果:微创治疗组和小骨窗手术组比较:(1)3天后(x^2=1.872,P=0.171),(2)5天后血肿残留量(t=-0.8418,P=0.4051),(3)再出血率(x^2=0.43,P=0.509),(4)颅内感染率(x^2=1.083,P=0.298),(5)死亡率(x^2=0.437,P=0.509),均无统计学意义。结论:改良微创颅内血肿清除术可以应用于大量脑出血的治疗。

Objective：To explore the feasibility of micro intracranical evacuation of hematoma for the treatment of hypertension massive cerebral hemorrhage. Methods; To select and compare from five aspects 26 cases of minimally invasive surgical treatment, and 24 cases of small bone window treatment for hypertension with cerebral hemorrhage, in terms of Glasgow score, the probability of further bleeding, hematoma residue, intracranial infection and mortality rate. Results： Micro invasive group and the group of small bone window （1） two cases after three days, Glasgow score （X^2 = 1. 872, P = 0. 171 ）, （2） after five days, residual hematoma （t =- 0. 8418, P = 0. 4051 ）, （3） bleeding rate （X^2= 0. 437, P = 0. 509）, （4） intracranial infection rate （X^2= 1. 083, P = 0. 298）, （5） mortality （X^2= 0. 437, P = 0. 509 ）, No statistical significance. Conclusion： Improved minimally invasive intracranial hematoma can be used for the treatment of massive cerebral hemorrhage.