超早期微创穿刺引流术治疗高血压脑出血

Clinical research of super-early minimally invasive operation in the treatment of hypertensive intracerebral hemorrhage

目的比较不同手术时间窗钻孔穿刺引流术治疗高血压脑出血的疗效,探讨其临床应用价值。方法对2006-01~2009-01行钻孔穿刺引流术治疗高血压脑出血59例,超早期组32例,延期组27例进行近期（出院时）GOS评分;6个月后ADL分级评定。运用统计学方法,比较手术后并发症发生率及术后近期和远期疗效。结果2组病例术后常见并发症发生率均无显著性差异（P〉0.05）,但预后存在显著差异（P〈0.05）,超早期组病例近期、远期病残率明显低于延期组。结论临床观察和随访表明,对于Ⅰ、Ⅱ、Ⅲ级和部分Ⅳ级高血压脑出血（血肿量〈60ml）患者,超早期微创穿刺引流术,能保护脑功能,降低致残率,提高生存质量。

Objective To compare the curative effect of minimally invasive operation in the treatment of hypertensive intracerebral hemorrhage in different time,and to evaluate the clinical value. Methods Clinical data of 59 patients suffering from hypertensive intracerebral hemorrhage who were admitted to the Ninth Affiliated Hospital of Guangxi Medical University from January 2007 to October 2008 were researched. They were divided into two groups： super-early group （32 cases） and delay group （27 cases）. The difference in intercurrent-symptom rate, current（1 month） and last（6 months） curative effect between the two groups were concluded. Results Intercurrent-symptom rate in two groups had no significant statistical difference（P〉0. 05） ,but current and last disability rates of super-early group were obvious lower than those of delay group（P〈0.05）. Conclusion Clinical research and follow visitation indicate that therapeutic effect of super-early group was much better than delay group for patients with hematoma less than 60 ml, the super-early mini-invasion operation can improve the prognosis and decrease the rate of disability,enhance survival quality.