微创血肿抽吸术治疗脑出血并肾功能不全患者的临床研究

Effect of minimally invasive treatment on therapy of intracerebral hemorrhage with renal failure

目的:评价微创血肿抽吸引流术在脑出血合并肾功能不全患者中的治疗效果。方法:回顾性分析2000年1月至2009年3月间我院收治的15例脑出血合并肾功能不全进行微创抽吸引流术患者的临床资料,并与同期22例保守治疗的患者进行比较。结果:微创手术组显效率为66.67%,总有效率为86.67%,明显高于保守治疗组的22.73%和40.91%(P<0.01);治疗后微创组血肌酐值为107.65±22.06μmol/L,显著低于保守组139.45±22.8μmol/L,P<0.001。结论:早期应用微创血肿穿刺抽吸术能迅速有效地解除脑室内高压,阻断恶性循坏而使病情得到缓解,同时也能明显改善肾功能。

Objective： To investigate the role of minimally invasive treatment in therapy of intracerebral hemorrhage with renal failure. Methods： The clinical data of 15 patients with intracerebral hemorrhage with renal failure, undergoing minimally invasive treatment from January of 2001 to March of 2009,were retrospectively analyzed. Results： Compared with the conservative treatment group, total effective rate of minimally invasive treatment group was increased （P〈0.01）, and the level ofcreatinine in minimally invasive treatment group was significant decreased compared with conservative treatment group （P〈0.001）. Conclusion： Application of minimally invasive treatment can improve renal function and neurologic function in intracerebral hemorrhage with renal failure.