微创颅内血肿清除术治疗高血压性脑出血的临床研究

目的:比较硬通道、软通道颅内血肿微创清除术治疗高血压性脑出血的疗效。方法:200例高血压脑出血患者随机分成两组,A组采用硬通道颅内血肿清除术,B组采用软通道颅内血肿清除术。观察1个月临床疗效和6个月日常生活能力。结果:A组病死率45%,B组29%,两组比较有显著性差异(P<0.05)。结论:软通道微创颅内血肿清除术治疗高血压脑出血疗效较硬通道为好。

Objective：To compare the therapeutic effect of hard-tunnel and soft-tunnel minimally invasive removal of intracranial hematoma curing hypertension cerebral hemorrhage.Methods：200 patients of hypertension cerebral hemorrhage were randomly divided into two groups：group A were adopted hard-tunnel-minimally invasive removal of intracranial hematoma,and group B were adopted soft-tunnel-minimally invasive removal of intracranial hematoma,then clinical therapeutic effect in one month and activity of daily living in six months were observed.Results：The case fatality rate of group A was45%,the case fatality rate of group B was 29%（P〈0.05）.Conclusions：The therapeutic effect of soft-tunnel minimally invasive removal of intracranial hematoma curing hypertension cerebral hemorrhage group was better than hard-tunnel group.