| 钻孔引流与传统开颅术治疗高血压脑出血的疗效分析 |
| |
| 引用本文： | 王明海,黄武,杨劲松,吴臣义,刘芳.钻孔引流与传统开颅术治疗高血压脑出血的疗效分析[J].江苏医药,2012,38(15):1796-1797. |
| |
| 作者姓名： | 王明海 黄武 杨劲松 吴臣义 刘芳 |
| |
| 作者单位： | 南京医科大学附属常州市第二人民医院阳湖院区脑外科,江苏省,213000 |
| |
| 摘 要： | 目的探讨传统开颅与钻孔引流两种治疗方式对高血压脑出血患者疗效的影响。方法 121例高血压脑出血患者,出血量30-80ml。于基底节区分别进行钻孔引流术(A组,59例)或常规开颅血肿清除术(B组,62例)。比较两组患者的手术时间、再出血以及术后6个月病死率和致残率。结果 A组手术时间短于B组(41.4±5.3)min vs.(126.0±16.2)min](P<0.05);A组远期疗效优于B组。但两组再出血率及病死率无明显统计学差异。结论对于中、小量高血压脑出血,且颅内压不是很高的患者,钻孔引流术在手术时间、远期疗效上具有较为明显的优势。
|
| 关 键 词： | 高血压脑出血 钻孔引流术 |
A comparison of the outcomes of treating hypertensive intracerebral hemorrhage by puncture drainage and conventional craniotomy |
| |
| Institution: | WANG Minghai,HUANG Wu,YANG Jinsong,et al.Department of Neurosurgery,Affiliated Changzhou Second People′s Hospital Yanghu Branch,Nanjing Medical University,Changzhou 213000,CHINA |
| |
| Abstract: | Objective To compare the outcomes of treating hypertensive intracerebral hemorrhage(HICH) by puncture drainage with conventional craniotomy.Methods A total of 121 patients with HICH(about 30-80 ml) underwent surgery of puncture drainage(group A,59 cases) or conventional craniotomy(group B,62 cases).The incidence rates of rebleeding and six-month mortality after operation were compared.Results The operation time was shorter in group A than that in group B(41.4±5.3) min vs.(126.0±16.2) min](P<0.05).Long-term efficacy was better in group A than that in group B.There were no significinant differences in rebleeding rates and mortality between two groups.Conclusion In HICH patients with middle or small volume of hematoma,puncture drainage has the advantages of shorter operation time and long-term efficacy. |
| |
| Keywords: | Hypertensive intracerebral hemorrhage Puncture drainage |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
