微创颅内血肿清除术治疗脑出血32例疗效分析

Treatment of cerebral hemorrhage with minimally invasive surgery in 64 cases

目的观察颅脑微创定向血肿清除术治疗脑出血的疗效。方法将64例患者随机分为微创组32例和内科保守治疗组32例,比较两组疗效。结果微创组总有效率(87.5%)优于内科组(65.6%),差异有统计学意义(P<0.05)。微创组病死率(12.5%)显著低于内科组(28.1%),差异有统计学意义(P<0.05)。入院时和治疗2周、4周后神经功能缺损评分比较,差异有统计学意义(P<0.05)。结论微创术治疗脑出血简便易行,创伤小,安全可靠,经济实用,可显著改善患者的预后和降低患者病死率,疗效可靠。

Objective Observation of minimally invasive brain surgery to remove directional hematoma of the efficacy of the treatment of cerebral hemorrhage. Methods Sixty - four patients were randomly divided into of minimally invasive medical conservative treatment group （32 cases） and internal medicine group （32 cases）, effects were compared between the two groups. Results The total effective rate of minimally invasive group （87.5%） was higher than internal medicine group （65.6%）, the difference was statistially significant（ P 〈 0.05 ）. Fatality rate of minimally invasive group （12.5%） was significantly lower than that of internal medicine group （ 28. 1% ） the difference was statistially significant （ P 〈 0.05 ）. Admission and treatment of 2 weeks, 4 weeks after the neurological deficit scores, the difference was statistically significant （ P 〈 0.05 ）. Conclusion Minimally invasive for the treatment of cerebral hemorrhage simple, minimally invasive, safe, reliable, economical and practical. It should help to significantly improve the prognosis of patients and reduce mortality in patients with effective and reliable.