微创术治疗高血压脑出血42例

Minimally invasive surgery of hypertensive intracerebral hemorrhage:clinical analysis of 42 cases

目的 探讨微创颅内血肿清除术在高血压脑出血治疗中的作用。方法 开颅组 36例在内科治疗基础上开骨瓣或骨窗行血肿清除术 ;微创组 4 2例在内科治疗基础上行CT片定位法微创颅内血肿清除术。比较两组病人治疗后的有效率、死亡率和治疗前后神经功能缺损评分。结果 开颅组有效率为 5 5 6 % ,死亡率为 11 1% ;微创组有效率 90 5 % ,死亡率为 4 8% ,两组比较差异有显著意义 (P <0 0 5 )。两组术后神经功能缺损评分差异亦有显著意义 (P <0 0 5 )。结论 微创颅内血肿清除术在高血压脑出血治疗中能提高有效率、降低死亡率、加速神经功能恢复。

Objective To evaluate the role of minimally invasive exacuation of hematoma for treatment of hypertensive intracerebral hemorrhage(HICH).Methods Forty-two cases in group A received minimally invasive medical treatment.36 cases in group B received craniotomy based medical treatment.The effective rate,mortality and neurological deficit scale of the two groups were compared.Results The effective and mortality rate in group A was 90.5% and 4.8% respectively,which was significantly different from group B(55.6% and 11.1%,P<0.05).Conclusion The minimally invasive evacuation of hematoma can improve the effective rate,decrease the mortality rate,promote the recovery of neurological function and reduce complications in the treatment of HICH.