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高血压脑出血的微侵袭手术治疗——前瞻随机多中心研究
引用本文:周良辅,庞力.高血压脑出血的微侵袭手术治疗——前瞻随机多中心研究[J].中国临床神经科学,2001,9(2):151-154.
作者姓名:周良辅  庞力
作者单位:上海市神经外科高血压脑出血研究组复旦大学附属华山医院神经外科,
基金项目:本研究得到上海市卫生局科研基金资助(编号:P8ZED003)
摘    要:目的比较高血压脑出血微侵袭手术治疗的疗效.方法11个医院应用前瞻、随机、对照的研究方法,内科组105例,微侵袭外科组144例,比较高血压脑出血内科治疗与微侵袭外科治疗近期(1个月)和远期随访(6个月).结果近期疗效外科组明显好于内科组(P<0.001);近期死亡率在两组间无差别内科组近期死亡12例,死亡率11.4%,外科组近期死亡13例,死亡率9.0%(P=0.471).远期疗效外科组明显好于内科组(P=0.006);远期死亡率外科组低予内科组内科组远期死亡7例,死亡率7.5%,外科组远期死亡4例,死亡率3.1%(P=0.013).结论高血压性脑出血微侵袭手术治疗的疗效肯定.

关 键 词:高血压  脑出血  微侵袭手术
修稿时间:2001年4月10日

Minimally Invasive Surgery for Hypertensive Hematomas----A Prospective Randomized Multiple Centers Trial
Shanghai Neurosurgical Cooperation on Hypertensive Cerebral Hematoma Written by:ZHOU Liang Fu,PANG Li.Minimally Invasive Surgery for Hypertensive Hematomas----A Prospective Randomized Multiple Centers Trial[J].Chinese Journal of Clinical Neurosciences,2001,9(2):151-154.
Authors:Shanghai Neurosurgical Cooperation on Hypertensive Cerebral Hematoma Written by:ZHOU Liang Fu  PANG Li
Institution:Shanghai Neurosurgical Cooperation on Hypertensive Cerebral Hematoma Written by:ZHOU Liang Fu,PANG Li,Department of Neurosurgery,Huashan Hospital,Fudan University,Shanghai 200040
Abstract:Aim:To study the effects of minimally invasive operations on hypertensive intracerebral hematoma.Methods:This is a prospective and randomized study. Data were gathered from 11 hospitals. 105 cases were treated conservatively, and 144 cases were operated. The follow up one and six months after hospitalization were compared.Results:Surgery group had a better one month follow up than the conservative group ( P <0 001),while the one month death rate had no difference (12 cases and 11.4% in conservative group versus 13 cases and 9.0% in surgery group). Surgery group also had a better six months follow up than conservative group( P =0 006),while the six months death rate was also lower in the surgery group (4 cases,3.1% in surgery group versus 7 cases and 7.5% in conservative group, P =0 013).Conclusion:Minimally invasive srugery is an effective treatment of hypertensive intracerebral hematoma.
Keywords:hypertension  intracerebral hematoma  minimally invasive surgery
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