大脑中动脉瘤破裂并脑内血肿的显微外科治疗效果及患者预后影响观察

The effect of microsurgical treatment and prognosis of patients with ruptured middle cerebral aneurysm and intracerebral hematoma

目的研究大脑中动脉瘤破裂并脑内血肿的显微外科治疗效果及患者预后影响。方法选取本院50例大脑中动脉瘤破裂并脑内血肿患者(2014年8月至2017年12月)作为本次研究的研究对象,将其依据随机原则分为对照组、观察组两组,分别行传统手术治疗和显微外科手术治疗,对比两组治疗效果和预后情况。结果观察组大脑中动脉瘤破裂并脑内血肿患者治疗总有效率为96.00%,相比对照组差异有统计学意义(P<0.05)。观察组大脑中动脉瘤破裂并脑内血肿患者预后情况(优良占比92.00%、中残占比4.00%、重残占比4.00%、植物状态占比0%)显著优于对照组,两组间比较差异有统计学意义(P<0.05)。结论大脑中动脉瘤破裂并脑内血肿应用显微外科治疗,效果十分显著,且复发概率较低,能够有效改善患者预后情况,值得研究。

Objective To study the effect of microsurgical treatment and prognosis of patients with ruptured middle cerebral aneurysm and intracerebral hematoma.Methods Fifty patients with cerebral aneurysm rupture and intracerebral hematoma(August 2014-December 2017)were selected as the study subjects in this hospital.They were divided into control group and observation group according to the principle of randomization,Traditional surgical treatment and microsurgical treatment were performed,and the treatment effects and prognosis of the two groups were compared.Results In the observation group,the total effective rate of the treatment of cerebral aneurysm rupture and intracerebral hematoma was 96.00%,which was more advantage than the control group(P<0.05).In the observation group,the prognosis of patients with ruptured cerebral aneurysms and intracerebral hematoma(excellent ratio of 92.00%,residual ratio of 4.00%,heavy residuals of 4.00%,and vegetative status of 0%)was significantly better than that of the control group.In comparison(P<0.05).Conclusion Microsurgical treatment of ruptured middle cerebral aneurysm and intracerebral hematoma is very effective,and the probability of recurrence is low.It can effectively improve the prognosis of patients and is worthy of study.