微创血肿淬吸术与开颅血肿清除术对高血压脑出血的疗效对比研究

Comparative Study on Effect of Micro-invasive Hematoma Aspiration and Craniotomy in Treatment of Hypertensive Cerebral Hemorrhage

目的对比分析微创血肿淬吸术与开颅血肿清除术治疗高血压脑出血的临床疗效。方法选取自贡市第三人民医院于2009年6月至2011年12月收治的高血压脑出血患者78例,按简单随机化分组方法分成微创组与开颅组。微创组患者接受微创血肿淬吸术,开颅组患者接受开颅血肿清除术,观察两组患者的手术疗效、术后并发症发生情况及术后日常生活能力。结果微创组总有效率79.5%,开颅组总有效率56.4%,两组患者的总有效率比较差异有统计学意义(P<0.05);微创组和开颅组术后发生并发症的患者分别为7例和16例,比较两组患者术后并发症发生率的差异有统计学意义(P<0.05);两组患者术后半年的日常生活能力分级的组间差异有统计学意义(P<0.05)。结论微创血肿淬吸术治疗高血压脑出血疗效优于开颅血肿清除术,且并发症少,远期疗效更优,值得推广。

Objective To compare the clinical curative effect of micro-invasive hematoma aspiration and craniotomy in the treatment of hypertensive cerebral hemorrhage.Methods During June 2009-December 2011,78 patients with hypertensive cerebral hemorrhage from Zigong Third People＇s hospital were randomly divided into the micro-invasive group and the craniotomy group.There were 39 cases in each group.The micro-invasive group was treated with micro-invasive hematoma aspiration while the craniotomy group was treated with craniotomy.The clinical curative effect,the occurrence of postoperative complications,and ADL grades of the two groups were observed.Results The total effective rate of the micro-invasive group was 79.5% while that of the craniotomy group was 56.4%,the difference was statistically significant（P 0.05）;7 cases of the micro-invasive group and 16 cases of the craniotomy group had postoperative complications,the difference was statistically significant（P 0.05）;6 months after the operation,the difference of the ADL grades between the two groups was statistically significant（P 0.05）.Conclusion Micro-invasive hematoma aspiration has a better effect than craniotomy in the treatment of hypertensive cerebral hemorrhage,with less complications and better long term effect,which is worthy of promotion.