立体定向软通道穿刺引流术治疗高血压脑出血临床疗效评价

Clinical efficacy of stereotactic puncture and drainage in treatment of hypertensive cerebral hemorrhage

目的探讨立体定向软通道穿刺引流术治疗高血压脑出血的临床疗效。方法收集2012年11月~2014年9月住院治疗的高血压脑出血患者的临床资料,随机选取50例行立体定向软通道穿刺引流术治疗者为微创组,50例行小骨窗血肿清除术治疗者为开颅组,对两组入院时、术后6个月时神经功能缺损评分、生活自理能力评分（BI指数）进行回顾性评价。结果两组术后6个月时神经功能缺损评分均较入院时降低（P〈0.01）,BI指数较入院时升高（P〈0.01）;微创组术后以上指标改善程度均优于开颅组（P〈0.01）。结论立体定向软通道穿刺引流术治疗高血压脑出血能有效改善患者神经功能缺损,利于提高患者的生活自理能力,临床疗效肯定。

Objective To explore the clinical effect of stereotactic soft channel puncture and drainage in the treatment of hypertensive cerebral hemorrhage. Methods Clinical files of hospitalized patients with hypertension cerebral hemorrhage from November 2012 to September 2014 were collected. Fifty cases undergoing stereotactic soft channel puncture drainage treatment were selected as minimally invasive group. Another fifty cases undergoing hematoma removal treatment were chosen as craniotomy group. Neural function defect scale and life self-care ability index（ BI） score were retrospectively evaluated on admission and after 6 months behind surgery. Results Neural function defect scales of the two groups six months after surgery were lower than that on admission（ P〈0. 01） and BI indexes of both groups were higher（ P〈0. 01）,and the improvement of the indexes of the minimally invasive group were better than those of the craniotomy group（ P〈0. 01）. Conclusion Stereotactic soft channel drainage in the treatment of hypertensive cerebral hemorrhage can significantly improve the neurological function of patients and improve their self-care ability in daily life. It is clinically effective.