高血压性脑出血患者采取软通道、硬通道微创手术治疗临床疗效对比

Hypertensive intracerebral hemorrhage in patients with soft channel, hard channel minimally invasive surgery for clinical efficacy comparison

目的探讨高血压性脑出血患者采取软通道、硬通道微创手术治疗的临床疗效。方法选取2015年3月~2017年2月本院收治行微创手术治疗高血压性脑出血患者65例为研究对象,根据患者引流管种类不同分为软通道组(31例)和硬通道组(34例),比较两组患者疗效、并发症。结果软通道组与硬通道组患者治疗总有效率比较差异无统计学意义。软通道组患者周围组织损伤发生率低于硬通道组(P<0.05);余颅内感染、再发出血及脑脊液漏两组患者比较差异无统计学意义。结论高血压性脑出血患者采取软通道、硬通道微创手术治疗均能获得显著临床疗效,但硬通道治疗可增加对患者颅脑周围组织损伤。

Objective To investigate the clinical efficacy of soft channel and hard channel minimally invasive surgery in patients with hypertensive intracerebral hemorrhage. Methods Select 65 case of treatment of hypertensive intracerebral hemorrhage by minimally invasive surgery in our hospital during March 2015-February 2017 as studying object, according to the different types of drainage tubes were divided into soft channel group(31 cases) and hard channel group(34 cases), compare the two groups of patients in efficacy, complications. Results There was no significant difference in the total effective rate between the soft channel group and the hard channel group. The incidence of tissue injury in the soft channel group was lower than that in the hard channel group. There were no statistically significant differences in intracranial infection, recurrent bleeding and cerebrospinal fluid leakage. Conclusion Patients with hypertensive intracerebral hemorrhage with soft channel, hard channel minimally invasive surgery can achieve significant clinical efficacy, but the hard channel treatment can increase the patient's brain tissue injury.