微创穿刺抽吸术与开颅手术治疗脑出血的疗效对比

Clinical analysis the effect of minimally puncture-aspiration therapy for hypertension intracerbral hematomas compare with craniotomy

目的 比较微创穿刺抽吸术及开颅手术治疗高血压性脑出血的疗效。方法 回顾总结 1997年3月 2 0 0 3年 2微创穿刺抽吸术治疗 10 4例和 1988年 6月 1997年 2月开颅手术治疗 10 1例的死亡率、术后 3月言语 (优势半球出血 )及肢体功能恢复情况。结果 前者死亡 7例 (6 7% ) ,语言达理想恢复 4 5例(80 4 % )。肢体功能达生活自理 5 0例 (4 8 1% )。后者分别为 19例 (18 8% )、 19例 (35 2 % )、 2 2例 <2 1 8% )。二者对比 ,P均 <0 0 1,有显著差异。结论 前者能降低死亡率、致残率 ,提高患者生存质量。

Objective To compare the therapy effect of minimally puncture-aspiration and craniotomy in HICH.Methods From March,1997 to February,2003,104 patients of HICH acceped the treament of puncture-aspiration. From June. 1988 to February. 1997,101 patients of HICH acceped the craniotomy. We investigated the death rate, the recovery of language(cerebral dominant hemisphere)threemonths later and limb's function.Results By therapy of puncture-aspiration 7 patients(6.7%)died, 45patients(80.3%)recovered ideal in language, 50 patients(48.1%)could provide for themselves in limb. By craniotomy 19 patients(18.1%)did, 19patients(35.1%) did and 22 patients (28.1%) could do respectively.Conclusion The former can reduce death rate and disable rate and improve the living quality of the patients.