微创置管引流术治疗HICH患者的效果及预后观察.docVIP

微创置管引流术治疗HICH患者的效果 及预后观察 刘志刚李华张良君张宪起张志银袁兴田刚 陕西省第四人民医院神经外科 口的:探讨微创置管引流术治疗高血压脑出血（I1ICI1）患者的临床效果及对患者 预后的影响。方法:选取本院神经外科2013年1月2015年1月收治的96例HICH 患者进行回顾性分析，其中46例患者采用微创置管引流术治疗（微创组）、50 例患者采用开颅血肿清除术治疗（开颅组），对比两组患者的治疗效果及预后 差异。结果:微创组和开颅组患者术前、术后第Id的Vm、PI值差异无统计学意 义，术后第3d、第7d微创组患者的Vm值显著的高于开颅组、PI显著低于开颅 组;微创组和开颅组患者术前GCS评分值差异无统计学意义，术后第1周、2周 微创组患者的GCS评分值显著的高于开颅组;微创组预后良好24例（52.17%）显 著的高于开颅组的16例（32.00%）;微创组的手术并发症率23.91%显著的低于 开颅组的40. 00%o结论:微创置管引流术治疗HICH患者效果可靠，术后并发症 较少，有利于患者的预后。 关键词 微创置管引流术;高血压脑出血;开颅血肿清除术;预后; 刘志刚，E-ma订:1175102544@qq. com 2017-09-16 Observation of the effect and prognosis of minimally invasive catheter drainage in the treatment of HICH patients Liu Zhi-gang Li Hua Zhang Liang-jun Zhang Xian-qi Yuan Xing Tian Gang The Fourth Peoples Hospital of Shaanxi; Abstract Objective To investigate the cl inical effect of minimal 1y invasive dra in age in the t rca tment of hyper tensive int racerebral hemorrhage (IIICII) and its effec t on the prognosis of patie nts. Met hods Selected neurosurgery hospital in January 2013 January 2015 were treated 96 cases HICH were retrospectively analyzed, of which 46 patients were treated with minimally invasive catheter drainage treatment (minimally invasive group) 、 50 patients were treated with hematoma disscction treatment (craniotomy group) , compared to treatment and prognosis between the two groups of patients. Results Former patients undergoing craniotomy group and minimally invasive group, the postoperative 1 d of Vm, PI values no sig ni fica nt di f fere nee, postoperative 3 d, Vm value at 7 d the minimally invasivc group were significantly higher than the open cranial group, PI was significantly lower than craniotomy group; the former group and patients undergoing minimally invasive craniotomy group GCS score was no significant differenee, after 1 week, 2 weeks minimally invasive GCS scores of patients was significantly higher than the eraniotomy group; good prognosis 24 cases of invasive group (52. 17%) was signifiedntly higher tha