立体定向血肿穿刺引流术治疗高血压脑出血临床研究.docVIP

立体定向血肿穿刺引流术治疗高血压脑出血临床研究 　　[摘要] 目的 探?和分析立体定向血肿穿刺外引流术在治疗高血压脑出血疾病的临床疗效。 方法 方便选取2015年1月―2017年6月期间该院收治的114例高血压脑出血患者为研究对象， 通过随机数字的方式划为观察组和对照组各57例，分别采用微创血肿穿刺外引流术、开颅血肿清除术，然后针对脑卒中患者制订的临床神经功能缺损程度评估标准，分别在入院时、以及手术之后的3 个月与9 个月，对该两组神经功能的实际缺损程度作出评估，并观察与对比两组的疗效状况。 结果 观察组在手术之后的3 个月与9 个月神经功能缺损评估得分分别为（24.7±4.1）分、（20.4±5.3）分，都明显低于对照组，该两组的神经功能缺损程度对比，差异有统计学意义（t=5.186、6.029，P0.05）；观察组患者的总有效率为91.23%，明显高于对照组，两组的总有效率对比差异有统计学意义（χ2=6.380，P0.05）。 结论 在对高血压脑出血的救治中，立体定向软通道微创血肿穿刺外引流术具有术中的创伤小、且恢复较快、治疗效果好等优点。值得临床推广应用。 　　[关键词] 微创术；血肿穿刺引流术；高血压脑出血 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2018）03（a）-0076-03 　　Stereotactic Hematoma Puncture and Drainage in Treatment of Hypertensive Cerebral Hemorrhage 　　LI Zheng-li 　　Department of Surgery， Huadian People’s Hospital， Huadian， Jilin Province， 132400 China 　　[Abstract] Objective This paper tries to investigate and analyze the clinical efficacy of stereotactic hematoma puncture and drainage in the treatment of hypertensive intracerebral hemorrhage. Methods 104 cases of hypertensive cerebral hemorrhage patients from January 2015 to June 2017 were convenient selected as the research object， by the way of random numbers， they were divided into the observation group and the control group， with 57 cases in each group， using minimally invasive hematoma puncture drainage and craniotomy， then evaluation standards of the clinical neurological deficit in patients with brain development stroke， respectively at admission and 3 months after surgery and 9 months to assess the actual defect degree of the two groups of nerve function， and to observe and contrast the efficacy of the two groups. Results The assessment scores of neurological deficits in observation group at 3 months and 9 months after surgery were （24.7±4.1）points and （20.4±5.3）points， respectively， which were significantly lower than those in control group. The degree of neurological deficit in the two groups， there was a significant difference（t=5.186、6.029， P 　　[Key words] Minimally invasive surger