立体定向微创与常规开颅手术治疗高血压脑出血的疗效比较.docVIP

精品论文 参考文献 立体定向微创与常规开颅手术治疗高血压脑出血的疗效比较 张磊（岳池县人民医院 四川广安 638300） 　　【摘要】 目的 探讨立体定向微创与常规开颅手术治疗高血压脑出血（HICH）的临床疗效。方法 选择HICH 患者96 例随机分为观察组与对照组各48 例，对照组给予常规开颅手术治疗，观察组给予立体定向微创手术治疗，比较两组患者临床疗效。结果 观察组术后3 个月MRS量表评分显著低于对照组(Plt;0.01)，BI 指数评分显著高于对照组(Plt;0.01)；观察组重度残疾率为2.1%(1/48)，显著低于对照组的18.8%(9/48)(P＜0.05)，观察组无功能障碍患者占43.8%(21/48)，显著高于对照组的4.2%(2/48)(P＜0.01)；观察组优良率为68.75%(34/48)，显著高于对照组的41.67%(20/48)(Plt;0.05); 观察组术后颅内感染发生率、呼吸道感染发生率、消化道出血发生率以及病死率均显著低于对照组（Plt;0.05）。结论 立体定向微创手术治疗高血压脑出血疗效确切，血肿清除完整，对正常脑组织损伤少，术后并发症发生少，有利于患者神经功能损伤的恢复，值得临床推广。 　　【关键词】 立体定向微创手术；开颅手术；高血压脑出血【中图分类号】 R2 【文献标号】 A 【文章编号】 2095-7165（2015）13-0023-03【Abstract】Objective To discuss the clinical effects of stereotactic guide minimally invasive operation and routine craniotomy in the treatment ofHICH. Methods 96 patients with HICH were randomly divided into the observation group(n=48) and the control group(n=48), the observation groupwere treated with stereotactic guide minimally invasive operation, the control group were treated with routine craniotomy, then the clinical effects werecontrasted between the two groups. Results MRS score in the observation group 3 months after the treatment was significantly lower than the controlgroup(Plt;0.01), and BI score significantly higher than the control group(Plt;0.01); Severe disability rate in the observation group was 2.1%(1/48),significantly lower than 18.8%(9/48) in the control group(P＜0.05), No dysfunction rate in the observation group was 43.8%(21/48), significantly higherthan 4.2%(2/48) in the control group(P＜0.01); the excellent rate in the observation group was 68.75%(34/48), significantly higher than 41.67%(20/48) inthe control group(Plt;0.05); the incidence of intracranial infection, incidence of respiratory tract infection, incidence of gastrointestinal bleeding, andmortality rate after the treatment in the observation group were significantly lower than the control group(Plt;0.05). Conclusion Stereotactic guideminimally invasive operation has exactly effects in the tre