不同手术时机立体定向血肿碎吸术治疗高血压脑出血80例分析

The clinical analysis of different timing of surgery stereotactic hematoma aspiration for treating hypertensive cerebral hemorrhage

目的：探讨不同手术时机立体定向血肿碎吸术治疗高血压脑出血的临床效果。方法：将80例高血压脑出血病人随机分成两组（超早期手术组和早期手术组各40例）,超早期手术组在发病后0-48h内手术实施立体定向血肿碎吸术,早期手术组在发病后48-96h内实施立体定向血肿碎吸术。结果：超早期手术组血肿完全清除明显高于早期手术组（P〈0.05）,同时复发率也明显低于早期手术组（P〈0.05）。两组术后6个月随访,早期手术组的生活能力明显好于早期手术组（P〈0.05）。结论：超早期立体定向血肿碎吸术治疗高血压脑出血能够更有效地清除血肿,减少复发,使神经功能得以最大程度的恢复。

Objective： To investigate the clinical effects of different timing of surgery stereotactic hematoma aspiration for treating hypertensive cerebral hemorrhage.Methods： 80 patients with hypertensive cerebral hemorrhage were randomly divided into two groups-the ultraearly surgery group and the early surgery group,two groups were treated the stereotactic hematoma aspiration,the ultra-early surgery is 0～48 hours after the onset of surgery,the early surgery is 48～96 hours after the onset of surgery.Results： After treatment,the complete removal of hematoma of the ultra-early surgery group was significantly higher than the early surgery group（P〈0.05）,while the recurrence rate was less than the early surgery group（P〈0.05）.aftere 6 months postoperative follow-up,the ADL scores of the ultra-early surgery group was significantly better than the early surgery（P〈0.05）.Conclusion： The stereotactic hematoma aspiration in the early treatment of hypertensive cerebral hemorrhage can be more effectively remove the hematoma,reduce recurrence,make the loss of nerve function to the greatest degree of recovery,should be widely applied.