CT定向微创颅内血肿清除术治疗急性脑出血预后分析

The prognosis assessment of acute brain hemorrhage treated by CT guiding microinvasive evacuation of hematoma

目的 :探讨微创颅内血肿清除术和内科综合治疗对急性脑出血预后的影响。方法 :基底节区脑出血患者 ,出血量均为 30～ 40ml。随机分为二组 ,甲组 38例采用常规内科综合治疗 :甘露醇脱水、脑细胞保护剂及康复治疗。乙组 40例在常规内科综合治疗的基础上加用CT定向下的微创颅内血肿清除术 ,并动态观察 ,比较病程 30d时的治疗有效率和死亡率 ,采用 χ2 检验比较。结果 :甲组病程 30d时有效率为 6 5 .8% ,死亡率为 2 3 .7% ,乙组病程 30d时有效率 87.5 % ,死亡率为 7.5 %。经 χ2 检验 ,二者有显著性差异 (P <0 .0 5 )。结论

Objective:To assess the prognosis of acute brain hemorrhage treated by CT guiding microinvasive surgical evacuation of hematoma and medical comprehensive treatment.Methods:78 cases of acute brain hemorrhage of about 30～40ml in basal nuclei were randomized into group A and B:38 cases in group A received conservative medical treatment and 40 cases in group B received CT guiding stereotactic microinvasive surgery based on medical treatment .The effective rate and mortality of the two groups within 30 days following treatment were compared,and statistical data were processed with Chi square test.Results:The effective rate and mortality in group B were 87.5% and 7.5%,respectively,which is significantly different from that in group A (65.8% and 23.7%,respectively, P <0.05).Conclusion:CT guiding stereotactic microinvasive surgery can effectively decrease the mortality of acute brain hemorrhage.