微创颅内血肿清除术治疗脑出血60例临床分析

目的: 观察微创颅内血肿清除术(微创术)治疗脑出血的疗效。方法: 将120例患者分为微创组60例和内科保守治疗组(内科组)60例,比较两组疗效。结果: 微创组总有效率(81.67%)优于内科组(45.00%)(P<0.005)。微创组病死率(11.67%)显著低于内科组(40.00%)(P<0.005)。随访6个月患者日常生活能力状态比较差异有统计学意义(P<0.05)。结论: 微创术治疗脑出血简便易行,创伤小,安全可靠,经济实用,可显著改善患者的预后和降低患者病死率,适宜基层医院推广应用。

Treatment of cerebral hemorrhage by removing intracranial hematomas through micro-traumatic operation:Report of 60 cases

Objective:To observe the efficacy of micro-traumatic operation(MTO)on cerebral hemorrhage(CH).Methods:One hundrend and twenty cases of CH were divided into MTO group(n=60,treated with MTO)and medical group(n=60,treated with conservative treatment)separately and the results of the two groups were compared.Results:The total effective rate in the MTO group was 81.67%,which was higher than that in the medical group(45.00%)(P<0.005).The case fatality rate in the MTO group(11.67%)was lower than that in the medical group(40.00%)(P<0.005).The patient's activity of daily living and states of the two groups had obvious difference after six months' follow-up(P<0.05).Conclusions:The therapy of MTO is a simple,safe and economic method with small traumas.It can obviously improve the patient's prognosis and reduce the death rate of patients with CH.It is worth carrying out in primary hospitals.