立体定向微创软通道在治疗高血压脑出血中的应用价值

Stereotactic minimally invasive soft channel application value in the treatment of hyper- tensive cerebral hemorrhage

目的：探讨立体定向微创软通道在治疗高血压脑出血患者的临床效果．方法：自2012-04／2013-04于本院脑外科收入院并被诊断为高血压脑出血的89例患者，其中，47例患者采取保守治疗，42例患者选择立体定向微创软通道治疗．对两组患者进行疗效判定和斯坎蒂尼亚卒中量表（SSS）的评分．结果：保守治疗组的患者好转率为68．1％，定向软通道组的好转率为88．1％，好转率明显高于保守治疗组且具有统计学差异（P〈0．05）；保守治疗组和定向软通道组在治疗前斯坎蒂尼亚卒中量表（SSS）的评分没有统计学差异（P〉0．05）；在治疗后定向软通道组的恢复程度高于保守治疗组且具有统计学差异（P〈0．05）．结论：立体定向微创软通道在治疗高血压脑出血中疗效显著，值得临床推广．

AIM： To investigate the effects of stereotactic mini- mally invasive soft channel in the treatment of hypertensive cere- bral hemorrhage. METHODS： From April 2012 to April 2013, 89 cases were admitted in brain surgery and diagnosed with hyper- tensive cerebral hemorrhage. Among them, 47 patients took the conservative treatment and 42 patients chose stereotactic minimal- ly invasive treatment of soft channel. The two groups were judged by efficacy and recorded by Scandinavian Stroke Scale （SSS）. RESULTS： The recovery rate of conservative treatment group was 68.1%, and the directional soft channel group was 88.1%, the recovery rate is significantly higher than conservative treatment group, which had statistical difference （ P 〈 0.05 ） ; Before the treatment, conservative treatment group and the directional soft channel group＇s , Scandinavian Stroke Scale （SSS） had no statisti- cal difference （P 〉 0.05 ） ; After the treatment, the recovery de- gree of directional soft channel group was higher than conservative treatment group and had statistical difference （P 〈 0.05 ）. CON- CLUSION： The stereotactic minimally invasive soft channel has significant effects in the treatment of hypertensive cerebral hemor- rhage, and it is worth of applying in clinicals.