不同微创钻孔手术治疗高血压性脑出血的疗效对比

Comparative study on different minimally invasive surgery ofr hypertensive cerebral hemorrhage

目的比较不同微创钻孔手术治疗高血压性脑出血的临床疗效。方法纳入合格的高血压性脑出血患者100例。试验组(n=50)采用微创穿刺血肿抽吸术,术后用尿激酶。对照组(n=50)行小骨窗开颅血肿清除术。比较2组NIHSS评分、GOS评分以及疗效。结果试验组住院时间、NIHSS评分低于对照组(P<0.05)。术后1d血肿变化,试验组明显多于对照组,但术后7d时,2组比较差异有统计学意义(P<0.05)。试验组最终残留血肿量低于对照组。结论微创穿刺血肿抽吸术联合尿激酶是有效干预和治疗高血压性脑出血的手术方案,值得在临床中推广。

Objective To compare the efficacy of different minimally invasive operation on hypertensive cerebral hemorrhage. Methods One hundred patients with hypertensive cerebral hemorrhage were chosen. Case-control retrospective study was used. Treatment group （n= 50） was treated by the minimally invasive puncture hematoma suction, urokinase was used after operation. The control group（n= 50） was treated by small bone window craniotomy for removal of hematoma. NIHSS score, GOS scores, and the differences of overall curative effect of two groups were compared. Results The length of stay in hospital, and NIHSS score of the treatment group were lower than those of the control group（P〈0.05）. At the 1 stday thechange of postoperative hematoma of the treatment group,was more obvious than that of the control group, but at the 7th day after surgery,the changes of postoperative hematoma between the two groups had a statistical significance（P〈0.05）. The volume of finally residual hematoma of the treatment group was less than that of the control group. Conclusion The minimally invasive puncture hematoma suction combined with urokinase is an effective intervention and treatment of hypertensive cerebral hemorrhage, and is worth of clinical popularization.