微创碎吸术治疗高血压脑出血的近期及远期疗效分析

目的:观察微创碎吸术治疗高血压脑出血的近期及远期疗效。方法:82例高血压脑出血患者被随机分为微创组及开颅组,每组41例。微创组采用微创碎吸术清除颅内血肿,而开颅组则采用传统骨窗开颅方法,行去骨瓣减压血肿清除术。比较两组的近期及远期疗效。结果:与开颅组相比,微创组近期疗效的总有效率显著增加(P<0.01),死亡率显著下降(P<0.05);两组远期疗效无显著性差异(P>0.05);微创组的消化道出血及肺部感染的发生率明显降低,有显著性差异(P<0.05;P<0.05)。结论:微创碎吸术治疗高血压脑出血具有方法简便安全有效的优点,其近期疗效优于传统的开颅手术。

THERAPEUTIC EFFECT OF MINIMALLY INVASIVE SURGERY FOR PATIENTS WITH HYPERTENSIVE CEREBRAL HEMORRHAGE

Objective: To observe the efficacy of minimally invasive surgery for intracranial hematoma caused by hypertension cerebral hemorrhage. Methods: 82 cases of patients with hyperten-sive cerebral hemorrhage were randomly divided into two groups averagely: treatment group received minimally invasive surgery, and control group received conventional open skull operation. The therapeutic effects at 1 and 6 month after operation were observed. Result: Compared with control group, total effective rate in treatment group at 1 month after operation increased (P<0.01), death rate decreased significantly(P<0.05). Prospective efficacy had no difference between the two groups(P>0.05). Incidence rates of both alimentary tract hemorrhage and pulmonary infection in treatment group decreased markedly (both P<0.05). Conclusion: Minimally invasive surgery is a simple, safe and effective method for patients with hypertensive cerebral hemorrhage.