CT引导下立体定位两种手术序贯治疗重型基底节区高血压脑出血的临床疗效分析

Two kinds of sequential therapy of operation by CT location in treatment of cerebral hemorrhage in basal ganglia caused by hypertension

目的:探讨CT引导下两种手术序贯治疗重型基底节区高血压脑出血的疗效。方法:将重型基底节区高血压脑出血患者按照随机数字表法抽取病例,并按不同手术方式分为A、B、C三组。A组(70例)采用大骨瓣开颅术,B组(76例)采用小骨窗开颅术,C组(65例)在CT引导下进行血肿穿刺引流并开颅血肿清除术。结果:C组在围手术期、近期疗效及远期疗效均优于A组和B组,且均有显著差异。结论:CT引导下立体定位与血肿穿刺引流并开颅血肿清除内减压的序贯手术治疗效果可靠。

Objective： To explore the therapeutic effects of two kinds of sequential therapy of operation by CT location in treatment of cerebral hemorrhage in basal ganglia caused by hypertension. Methods： According to different operation the patients with HICH, who were admitted to the hospital between Jan.2007 and Jun.2012, were divided into three groups. A group（n=70）operated by the big bone flap craniotomy, B group（n=76） operated by the small bone window surgery, C group（n=65） operated by craniotomy evacuation of hematoma after puncture and drainage by CT-guided. Results： Peri operation period ,recent and long-term effects of A group were better than those of the other groups. Conclusion：Two kinds of sequential therapy of operation by CT location is reliably and effective for the patients with severely hypertensive intracerebral hemorrhage in basal ganglia region.