微创颅内血肿抽吸引流术在脑出血治疗中临床应用.docVIP

微创颅内血肿抽吸引流术在脑出血治疗中临床应用 　　[摘要] 目的 探讨微创颅内血肿抽吸引流术在治疗脑出血中的应用价值。 方法 回顾性分析2011年2月～2013年3月我院收治的80例颅内血肿患者的临床资料并按治疗方式分为对照组（给予内科保守治疗）和实验组（行微创抽吸引流术治疗），比较两组患者治疗效果。 结果 实验组患者有效率明显高于对照组（P0.01）；实验组患者术后12周神经功能缺损评分明显低于对照组（P0.05）。 结论 微创颅内血肿抽吸引流术治疗脑出血引起的颅内血肿效果显著且神经功能恢复更快，值得临床广泛应用。 　　[关键词] 微创抽吸引流术；颅内血肿；脑出血；治疗 　　[中图分类号] R743.34 [文献标识码] B [文章编号] 2095-0616（2013）13-191-02 　　The clinical application of minimally invasive intracranial hematoma aspiration drainage on cerebral hemorrhage 　　ZHAN Hui 　　Department of Neurosurgery，Gaozhou Peoples Hospital of Guangdong Province，Gaozhou 525200，China 　　[Abstract] Objective To discuss the application value of minimally invasive intracranial hematoma aspiration drainage（MIIHA）on cerebral hemorrhage. Methods The clinical data of 80 cases of intracranial hemotoma patients who were admitted into our hospital from Feb.2011 to Mar.2013 was retrospectively analyzed，and the patients were divided into control group（treated with internal medicine conservative treatment）and experimental group（treated with MIIHA）according to their treatment methods，finally，the clinical effect of two groups was compared with each other. Results The effective rate of experimental group was obviously higher than control group（P0.01）；The NIHSS（12 weeks after surgery）of experimental group was obviously lower than control group（P0.05）. Conclusion MIIHA has a good effect on intracranial hematoma induced by cerebral hemorrhage and neurologic function recovery.It worth to be widely promoted in clinical therapy. 　　[Key words] Minimally invasive aspiration drainage；Intracranial hemotoma；Cerebral hemorrhage；Treatment 　　脑出血是最严重的急性脑血管病之一，其在中老年患者中有较高的致残、致死率，及时清除因脑出血引起的颅内血肿，是抢救患者的生命的最有效措施之一[1]。传统的内科保守治疗效果较差，对于大量出血的患者更是容易错过最佳抢救时机。近年来，有报道显示微创抽吸引流术能彻底清除颅内的血肿，已逐渐用于临床治疗脑出血。我院采用微创抽吸引流术治疗颅内血肿80例，取得较好的临床疗效，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　我院2011年2月～2013年3月收治的颅内血肿患者80例，根据第四届全国脑血管疾病会议所制定的诊断标准以及头部CT检查结果均可诊断为脑出血颅内血肿，出血部位经证实均为脑叶或壳核出血，并且都在发病3 h以内接受治疗。将患者按治疗方法分为对照组和实验组两组，对照组40例，男23例，女17例，平均年龄（49.3±5.4