手术方式选择与脑出血患者预后效果的相关性

目的:探讨手术方式选择与脑出血患者预后效果的相关性。方法:脑出血患者160例根据治疗方法分为治疗组与对照组各80例,对照组采用常规直视手术治疗,治疗组采用显微镜微创手术治疗。结果:治疗组的术后再次脑出血,肺部感染和上消化道出血等并发症发生率明显少于对照组(P0.05)。随访6个月,治疗组的ADL分级明显高于对照组,对比差异有统计学意义(P0.05)。结论:手术方式选择与脑出血患者预后有很强的相关性,显微镜微创手术技术的应用能改善近远期预后。

The correlation of surgical method with the prognosis effect on cerebral hemorrhage

Objective： To discuss the correlation of surgical method with the prognosis effect on cerebral hemorrhage. Methods： 160 cases of cerebral？hemorrhage were divided into treatment group with 80 cases and control group with 80 cases by surgical method. Control group were treated by drilling operation. Treatment group were treated by craniotomy with small bone hole. Results： The complication of pulmonary infection and upper gastrointestinal hemorrhage in treatment group were obviously less than control group（P〈0.05）. After 6 months follow-up, the ADL grad of treatment group was obviously higher than control group, the difference was statistically significant（P〈0.05）. Conclusions： The choice of surgical methods has a strong correlation with the prognosis effect on cerebral？hemorrhage. The application of craniotomy with small bone hole could improve the short-term and long-term prognosis.