CT辅助定向软通道穿刺术治疗高血压小脑出血的-研究.docVIP

山西医科大学（博）硕士学位论文 P=0.430 P0.05，差异无统计学意义。(3)肺部感染发生率的比较，穿刺组2 例16.67%， 手术组15 例53.57% P=0.030；术后颅内感染生率的比较，穿刺组无颅内感染，手 术组8 例28.57% P=0.038；皮下积液发生率比较，穿刺组无，手术组10 例占35.71% P =0.046 ；P 值均＜0.05，差异均有统计学意义。术后脑积水发生率比较，穿刺组 3 例占25.00% 手术组：9 例占32.14% P=0.946 P0. 05，差异无统计学意义。 结论： CT 辅助定向软通道穿刺术治疗高血压小脑出血缩短了手术耗时，为危重患者 的抢救赢得了宝贵的时间，手术创伤小，操作简单，减少了并发症，拓宽了手术适 应证，提高患者生存质量，降低死亡率。是治疗小脑出血快速、简便、有效的方法， 值得在临床上推广。 关键词： 高血压病 ；小脑出血 ；CT 辅助定向软通道穿刺术 II 山西医科大学（博）硕士学位论文 A Study on Transcranial Puncture under CT Locating Technique to Treat Hypertensive Cerebellum Hemorrhage Abstract Objective: Hypertensive cerebellar hemorrhage is a common clinical cerebrovascular disease. The incidence fast, dangerous disease, so a high mortality, morbidity, conservative treatment is poor. Application of appropriate surgical treatment can reduce high blood pressure in patients with cerebellar hemorrhage mortality and disability. Through this study, compare, analyze the clinical efficacy of CT soft directional auxiliary channel puncture and posterior fossa craniotomy, the complications and prognosis. Provide a reference for hypertensive cerebellar hemorrhage surgery. Materials and methods: Collected in our hospital from January 2008 --2014 in June were treated by CT soft directional auxiliary channel puncture and hematoma evacuation, two different surgical treatment of hypertensive cerebellar hemorrhage in patients with clinical data, a total of 40 cases. Patients were divided into puncture group (given CT soft directional auxiliary channel puncture) 12 cases and surgical group (after giving fossa craniotomy) 28 cases. Two groups of patients for clinical operation time, postoperative hematoma clearance, postoperative rebleeding rate, lung infection, seroma, postoperative hydrocephalus were analyzed and compared using SPSS13. 0 statistical software for analysis and processing, statistical description of measurement data preclude the use of mean ± standard deviation ( x ? s ) said the two groups were compared using the t test,