超早期小骨窗微创血肿清除术治疗高血压脑出血临床观察

The clinical observation of earlier minimal invasive hematoma evacuation for hypertensive cerebral hemorrhage

目的探讨超早期小骨窗微创血肿清除术治疗高血压脑出血的疗效及临床分析。方法 2011年8月～2012年8月期间,我院诊治的60例高血压脑出血患者,根据手术时机,将其分为早期组(发病6～72h手术)和超早期组(发病6h内手术),均在局麻状态下,实施微创血肿清除术,对两组临床疗效和再出血率,进行观察和比较。结果与早期组相比,超早期组治愈率和总有效率均明显升高,而致死率显著降低,P<0.05。结论对于高血压脑出血患者,超早期小骨窗微创血肿清除术疗效显著,明显减少了致残率和致死率,值得临床推广。

Objective To study the clinical efficacy and analysis of the earlier minimal invasive hematoma evacuation for hypertensive cerebral hemorrhage. Methods Sixty patients with hypertensive cerebral hemorrhage in our hospital during the priod from August 2011 to August 2012 were randomized into the early group （surgery on 6 ～ 72 hours after illness） and the earlier group （surgery within 6 hours after illness）. The patients were received the minimal invasive hematoma evacuation operation in lo- cal anesthesia. The clinical efficacy and rebleeding rate after surgery were observed and analyzed. Results Compared with the early group, the cure rate and the total effective rate were obviously increased and the mortality rate was significantly decreased in the earlier group, P 〈 0. 05. Conclusion For the patients with hypertensive cerebral hemorrhage, the earlier minimal invasive he- matoma evacuation operation was significant efficacy, obviously reduced the morbidity rate and mortality rate and worthy of promo- tion.