微创血肿清除术治疗高血压性丘脑出血疗效分析

目的探讨微创血肿清除术治疗高血压性丘脑出血的疗效。方法选择2010年1月--2013年1月在我院神经科进行手术治疗的高血压性丘脑出血患者90例，随机分为2组，每组45例，对照组接受传统治疗，治疗组给予微创血肿清除术治疗。分析比较2组患者的手术时间、手术出血量、住院时间、神经功能恢复情况、有效率、术后并发症等临床指标。结果与对照组相比，治疗组治疗时间、手术出血量、住院时间等显著降低（P〈0．05），有效率为80．O％，显著高于对照组的53．3％（P〈0．05），治疗组术后1个月后的C,CS、ADL评分显著优于对照组（P〈0．05），术后神经功能恢复情况也显著提高（P〈0．05）。结论微创血肿清除术治疗高血压性丘脑出血疗效确切，手术微创，安全性好，术后不良反应少，值得在临床推广。

Clinical research on the minimally invasive hematoma in the treatment of hypertensive thalamic hemorrhage

Objective To study the clinical efficiency of minimally invasive hematoma in the treatment of hypertensive thalamic hemorrhage. Methods Ninety patients with hemorrhage in de- partment of neurosurgery from 2010 January to 2013 January were randomly divided into two groups, 45 cases in each group. The control group received traditional treatment, while the treat- ment group was treated with minimally invasive surgery. The indices of operation time, operation bleeding, hospitalization time, recovery of neurological function, efficiency, postoperative complica- tions in two groups were compared. Results Compared with the control group, the operation time, bleeding volume, operation time of hospitalization in the treatment group significantly decreased （P 〈 0.05）. The effectiveness rate of the treatment group was 80 %, significantly higher than that of the control group 53.3 % （P 〈 0.05）. GCS and ADL scores of the treatment group one month after treatment were significantly better than those of the control group （P 〈 0.05 ）, and the postopera- tive recovery of neurological function in the treatment group improved significantly （ P 〈 0.05 ）. Conclusion Minimally invasive hematoma in the treatment of hypertensive thalamic hemorrhage has advantages of better curative effect, minimally invasive operation, more safety, and fewer post- operative adverse reactions. So it is worthy of promotion in clinical surgery.