微创钻孔引流治疗高血压脑出血的手术疗效观察

Observation of minimally invasive surgery of drainage onhypertensive cerebral hemorrhage

目的：探讨微创钻孔引流治疗高血压脑出血的手术时机及疗效。方法：选取入住我院的高血压脑出血患者150例作为观察对象，均确诊为脑出血，结合患者脑出血时间分组3组：A组52例，为初期手术组（发病在6小时内）；B组48例，为早期手术组（发病在6∽24小时之间）；C组50例，为择期手术组（发病在24∽72小时之间），患者均进行微创钻孔引流手术治疗。结果：B组即早期组，在完全治愈率、基本治愈率以及预后生活状况明显优于 A组和C组。结论：实验表明患者在出血后6∽24小时之间是较佳的手术时机，手术疗效显著。因此，把握好手术时间，有利于最大限度发挥微创钻孔引流在治疗高血压脑出血上的作用。

Objective：To discuss the time and effect of minimally invasive surgery of drainage on hypertensive cerebral hemorrhage . Methods：150 patients with hypertensive cerebral hemorrhage in our hospital were observed .All these patients were diagnosed as hematen-cephalon .The patients were divided into 3 groups by the time of hematencephalon：A group with 52 cases were preliminary surgery group （ hematencephalonhappened in 6h）.B group with 48 cases were early surgery group （hematencephalon happened in 6∽24h）.C group with 50 cases were selective surgery group （hematencephalon happened in 24∽72h）.All the patients were treated by minimally invasive surgery of drainage .Results：The patients in B group were obviously better than A and C groups on completely cure rate , basic cure rate and prognosis.Conclusion：Observations showed that the best time of surgery was 6∽24h after hematencephalon .The effect of surgery was obviously.The surgery time of minimally invasive surgery of drainage is important .The reasonable time could get the best effect .