高血压脑出血微侵袭血肿引流术与传统开颅血肿清除术疗效对比分析.docVIP

高血压脑出血微侵袭血肿引流术与传统开颅血肿清除术疗效对比分析 　　[摘要] 目的 比较高血压脑出血微侵袭血肿引流术与传统开颅血肿清除术的疗效。 方法 将60例高血压脑出血患者随机分为对照组与观察组各30例。对照组行传统开颅血肿清除术，观察组行微侵袭血肿引流术，比较两组手术时间、术中出血量、血肿清除率、术后恢复情况以及ADL分级。 结果 ①观察组手术时间、术中出血量、血肿清除率均显著小于对照组（P0.05，P0.01）；②观察组患者术后恢复情况显著优于对照组（P0.05）；③观察组术后ADL分级状况显著优于对照组（P0.05）；④观察组并发症23.33%，明显少于对照组（P0.05）。结论 高血压脑出血微侵袭血肿引流术效果显著，安全性高，值得在临床上加以推广并应用。 　　[关键词] 高血压脑出血；微侵袭血肿引流术；开颅血肿清除术 　　[中图分类号] R743.34；R544.1；R619.1 [文献标识码] B [文章编号] 1673-9701（2014）02-0149-02 　　Comparative analysis of the efficacy of hypertensive intracerebral hemorrhage minimally invasive surgery with the traditional craniotomy hematoma hematoma 　　GUO Chun 　　Department of Surgery，Yantai Zhifu Hospital in Shangdong Province， Yantai 264000，China 　　[Abstract] Objective To compare the effect of hypertensive cerebral hemorrhage minimally invasive surgery with the traditional craniotomy hematoma hematoma. Methods 60 patients with hypertensive cerebral hemorrhage were randomly according to balloting were divided into control group and observation group，with 30 cases in each. Control group underwent conventional hematoma evacuation，observation group underwent minimally invasive hematoma drainage，the operative time，blood loss，hematoma clearance rate，postoperative recovery and ADL classification were compared. Results ①Observation group operative time，blood loss， hematoma rate was significantly less than the control group（P0.05 or P0.01）.②The patients postoperative recovery was significantly better than the control group（P0.05）. ③Observation postoperative ADL classification status was significantly better than the control group（P0.05）.④The difference of complication was statistically significant（P0.05）. Conclusion Minimally Invasive hypertensive cerebral hemorrhage hematoma drainage effect is remarkable，safe，deserves to be promoted in clinical and applied . 　　[Key words] Hypertensive intracerebral hemorrhage；Minimally invasive hematoma drainage； Hematoma evacuation 　　高血压脑出血是神经系统常见的危重症之一，其致残率及致死率均非常高，严重危及到人类的身心健康[1]。当前