微创血肿碎吸术治疗外伤性颅内血肿的临床疗效.docVIP

微创血肿碎吸术治疗外伤性颅内血肿的临床疗效 　　[摘要] 目的 探讨外伤性颅内血肿采用微创血肿碎吸术治疗的临床效果。方法 整群选取入选该院2014年4月―2015年4月符合标准的外伤性颅内血肿患者128例，按照治疗方式的不同分为对照组和治疗组，每组64例；对照组患者实施开颅手术治疗，治疗组患者实施微创血肿碎吸术治疗，观察两组患者术后的疗效、并发症及各项临床指标情况。 结果 两组患者治疗后，病情均有改善，但治疗组患者GCS评分、NIHSS评分、Barthel指数情况显著优于对照组，治疗组患者术后并发症34.4%显著优于对照组的84.4%，结果差异有统计学意义（P中国论文网 /6/view-7216864.htm 　　[关键词] 颅内血肿；外伤性；微创手术；临床效果 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）01（a）-0111-02 　　Clinical Curative Effect of Microinvasion Skill of Eliminating Hematoma in Treatment of Traumatic Intracranial Hematoma 　　ZHENG Xin-hui， WANG Jian， CHEN Fan-zeng 　　Department of Neurosurgery， Zaozhuang Hospital of Zaozhuang Coal Mining Group， Zaozhuang， Shandong Province， 277100 China 　　[Abstract] Objective To discuss the clinical effect of microinvasion skill of eliminating hematoma in treatment of traumatic intracranial hematoma. Methods 8128 cases of patients with up-to-standard traumatic intracranial hematoma treated in our hospital from April 2014 to April 2015 were selected and divided into two groups with 64 cases in each according to the different treatment methods， the control group were given craniotomy operation， the treatment group were given microinvasion skill of eliminating hematoma， the postoperative curative effects， complications and other clinical indicators in patients of the two groups were observed. Results Patient’s condition of the two groups was improved after treatment， however， the GCS score， NIHSS score and Barthel index in the treatment group were obviously better than those in the control group， the postoperative complications in the treatment group were obviously better than that in the control group（34.4% vs 84.4%）， and the outcomes were statistically different （P 　　1 资料与方法 　　1.1 一般资料 　　整群选取该院2014年4月―2015年4月期间收治的外伤性颅内血肿患者128例，其中男性68例，女性60例，年龄22～40岁，平均年龄（27.8±2.6）岁。按照治疗方式的不同分为对照组和治疗组，对照组患者64例，年龄22～35岁，平均年龄（25.8±2.4）岁；治疗组患者64例，年龄26～40岁，平均年龄（27.5±2.6）岁。入选标准：符合中华医学会制定的关于颅内血肿的诊断标准[3]，经CT扫描确定外伤性血肿部位和血肿量，患者均未形成脑疝，血肿量24～60 mL。128例患者中，脑挫伤48例，急性硬膜