摘要
目的探讨高血压脑出血（HICH）手术治疗方法的选择和疗效。方法回顾采用CT立体定向穿刺引流、微创开颅及骨瓣开颅血肿清除三种术式治疗高血压脑出血患者278例，按照GCS评分和血肿量各分为三组，对不同术式和疗效对比分析。结果高血压脑出血CT立体定向穿刺引流组预后良好74例（59．6％），微创开颅组预后良好48例（56．4％），两组差异无统计学意义（P〉0．05）。骨瓣开颅组病死率21．7％（15例）。结论高血压脑出血手术治疗三种术式各有其特点，CT立体定向穿刺引流具有创伤小、恢复快、及时有效解除脑受压的特点，是一种治疗高血压脑出血简便有效的治疗方法。
Objective To investigate the choice and efficacy of surgury in treatment of hypertensive intracerebral hemorrhage. Methods The clinical data of 278 cases of hypertensive cerebral hemorrhage were retrospectively analyzed. These eases respectively used CT Stereotactie puncture and drainage, minimally invasive craniotomy and Craniotomy hematoma surgical treatment. According to the GCS cores and hematoma volume ,they were divided into 3 groups so as to comparatively analyze the efficacy of different surgical methods. Results Hypertensive cerebral hemorrhage CT stereotactic puncture good prognosis group was 74 cases （59.6%）, minimally invasive eraniotomy group of good prognosis,48 eases（56.4% ） ,there was no significant difference between the two groups（P 〉 0.05）. Cranioto- my mortality is 15 cases （21.7%）. Conclusion Three surgical treatment of hypertensive cerebral hemorrhage had their own charaeteristies ：CT stereotactie puncture and drainage characteristics with less trauma, faster recovery, timely and effectively discharge brain compression. It was a simple and effective treatment for hypertensive intracerebral hemorrhage. In many eases, CT sterotactic puncture and drainage could replace invasive hematoma evacuation.
出处
《中国基层医药》
CAS
2011年第6期776-777,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
颅内出血
高血压性
神经外科手术
Intraeranial hemorrhage, hypertensive
Neurosurgical procedures
