微创术治疗高血压性脑出血的临床疗效分析

Analysis of minimally invasive surgery in the treatment of hypertensive cerebral hemorrhage

目的分析微创术治疗高血压性脑出血的临床疗效。方法将90例高血压性脑出血患者随机分为微创组和保守组,各45例。微创组术前根据CT定位穿刺部位及深度,局麻下行穿刺吸出血肿液体并引流;保守组采用内科保守治疗。于治疗前及治疗28d后对两组患者进行神经功能缺损程度评分,评价两组疗效。结果微创组治疗总有效率为82.22%(37/45);保守组总有效率为53.33%(24/45)。微创组总有效率明显高于保守组(P<0.01)。结论微创术治疗高血压性脑出血具有创口小,损伤轻,可在较短时间内有效清除血肿,解除占位效应,预后较好。

Objective To analyze the curative effects of minimally invasive surgery in the treatment of hypertensive cerebral hemorrhage. Methods Ninety patients with hypertensive intracerebral hemorrhage were randomly divided into minimally invasive group in which the patients received local anesthesia and punctured according to the result of preoperative CT which located the position and sucked out hematoma liquid and drained. The conservative group in which the patients received conservative medical therapy. The pa- tients＇ nerve function defect in both groups was evaluated before the treatment and after 28-day treatment, and so was the curative effects. Results The total effective rate of the patients in the minimally group 82.22% （37/45） was obviously higher than that of the patients in the conservative group 53.33% （24/45） （ P 〈 0.01 ）. Conclusion Minimally invasive surgery has the advantages of small wound, mild injury, clearing up the hematoma and removing occupied effect in a short time has a better prognosis.