高血压脑出血患者开颅术与钻孔术的比较

目的 探讨高血压脑出血(HICH)患者开颅术与微创钻孔引流术的临床效果.方法 将60例HICH患者按随机数字表法分为2组,每组30例.对照组患者采用开颅手术,观察组采用微创钻孔CT定位下引流术.采用卒中患者神经功能缺损评分(CSS)、加拿大神经功能评分(CNS)及美国国立卫生研究所脑卒中评分(NIHSS)进行评估,观察2组患者术后6个月CSS、CNS、NIHSS评分,残死率、住院费用及住院时间的情况.结果 观察组术后CSS、CNS及NIHSS评分均优于对照组,残死率、住院费用及住院时间均明显低于对照组(均P＜0.05).结论 微创钻孔引流术治疗HICH的疗效较开颅术更为确切.

Comparison of Craniotomy and Drilling for Hypertensive Intracerebral Hemorrhage

Objective To investigate the effects of craniotomy and drilling intracerebral hemorrhage （HICH）. Methods Sixty patients with HICH were randomly on hypertensive assigned to rece- ive either craniotomy（control group, n=30）or minimally invasive CT-guided drill drainage （observation group, n=30）. Canadian Stroke Scale（CSS） score, Canadian Neurological Scale （CNS） score, National Institutes of Health Stroke Scale （NIHSS） score, incidence of deformity and death, hospital costs and hospital stay were recorded 6 months after operation. Results Compared with control group, minim- ally invasive CT-guided drill drainage significantly improved CSS, CNS and NIHSS scores and obvi- ously decreased the incidence of deformity and death, hospital costs and hospital stay （all P〈0.05）. Conclusion Minimally invasive drill drainage is superior to craniotomy for treating HICH.