高血压脑出血微创治疗及手术时机的决策探讨

Minimal Invasive Operation and Surgical Time in the Hypertensive Intracerebral Hemorrhage

为了比较幕上高血压脑出血传统开颅与微创治疗的效果及其并发症,并对其手术时机进行探讨,对30例传统开颅组和104例微创治疗组进行对比研究。结果显示,术后6个月微创治疗组致残率及肺部感染发生率较传统开颅组明显为低(P<0.05);早期(8h～24h)手术死亡率较超早期(<8h)明显为低(P<0.05)。因此,微创治疗能够有效降低高血压脑出血患者的致残率和术后并发症的发生率,其手术时机适宜选择在早期。

To compare the effect and complication of the two surgical methods （ conventional craniotomy and minimal inva- sive operation） in the treatment of hypertensive intracerebral hemorrhage, and discuss the surgical time. Study the crani- otomy group（ 104 cases） and the minimal invasive group（30 cases ） in mortality, morbidity rate and the rate of complica- tions including the prognosis in different surgical timing. The morbidity rate and the rate of pulmonary imCection of minimal invasive operation was remarkably lower than that of conventional craniotomy（P〈0.05 ）. There was notable difference in the mortality between the surgical timing 〈8 hours and in 8-24 hours（ P〈0.05 ） So the minimal invasive operation can reduce the morbidity rate and the rate of complications comparing to the conventional craniotomy, and the appropriate surgical timing was in the 8-24 hours.