手术治疗高血压脑出血43例B超辅助与否对比分析

A comparative analysis 43 cases of intraoperative ultrasound as an auxiliary therapy for hypertensive cerebral hemorrhage

目的:探讨术中B超辅助治疗高血压性脑出血的方法与疗效。方法:将43例需开颅清除血肿的中、重度高血压脑基底节区出血患者随机分为两组,治疗组:22例,术中在B超辅助下清除血肿;对照组:21例,行常规开颅清除血肿,术中不使用B超。并分析、比较两组患者的血肿清除率和临床疗效。结果:术中B超辅助下清除血肿组临床疗效良好率、血肿清除率均优于对照组(P<0.05)。结论:术中B超辅助治疗高血压脑出血可显著提高血肿清除率及临床疗效。

Objective： This paper summarizes and explores the therapy and effect of intraoperative ultrasound as an auxiliary therapy for hypertensive cerebral hemorrhage.Methods： 43 cases of medium and severe hypertensive intracerebral ganglionic hematomas,which need clearance of hematoma,were divided into two groups at random.Group A（experimental group）： 22 cases of clearance of hematoma with the assistance of intraoperative ultrasound;Group B（control group）： 21 cases of routine craniotomy,without intraoperative ultrasound.A contrast was made between the two experimental groups in clearance rates and curative effects.Results： Group A（experimental group） was superior to Group B（control group） in curative effect and clearance rate and the difference was of statistical significance（P〈0.05）.Conclusion： Clearance rates and curative effects of treatment for hypertensive cerebral hemorrhage are remarkably increased with intraoperative ultrasound as an auxiliary therapy.