高血压脑出血显微镜下开颅血肿清除术与微创锥颅血肿碎吸引流术治疗效果对比分析.docVIP

精品论文 参考文献 高血压脑出血显微镜下开颅血肿清除术与微创锥颅血肿碎吸引流术治疗效果对比分析 陈旭 成刚 吴健 (绵阳市中心医院神经外科 621000) 【摘要】目的 比较高血压脑出血显微镜下开颅血肿清除术与微创锥颅血肿碎吸引流术的治疗效果。方法 选取我院神经外科收治的高血压脑出血患者120例，随机分为显微镜下开颅血肿清除术组（开颅组）以及微创锥颅血肿碎吸引流组（锥颅组）各60例。开颅组采用显微镜下开颅血肿清除术进行治疗，锥颅组采用微创锥颅血肿碎吸引流术进行治疗。结果 锥颅组患者的平均手术时间为（0.63plusmn;0.32）h，明显短于开颅组患者平均的（4.91plusmn;2.14）h，差异有统计学意义（P＜0.05）。经手术治疗1周后，锥颅组术后患者意识状况分级：Ⅰ～Ⅱ级者35例，Ⅲ级者18例，Ⅳ级者7例。开颅组Ⅰ～Ⅱ级者30例，Ⅲ级者15例，Ⅳ级者15例。开颅组患者GCS得分（10.58plusmn;4.17）分，明显低于锥颅组的（13.73plusmn;4.36）分，差异有统计学意义（P＜0.05）。经手术治疗4周后，锥颅组恢复良好比率明显高于开颅组，植物生存率及死亡率明显低于开颅组，差异均有统计学意义（P＜0.05）。结论 微创锥颅血肿碎吸引流术治疗早期高血压脑出血，具有手术时间短，手术创伤小，手术疗效好等优点，是较好的治疗高血压脑出血的方法之一。 【关键词】高血压脑出血 开颅血肿清除术 微创锥颅血肿碎吸引流术 疗效 【中图分类号】R743.2【文献标识码】A【文章编号】2095-1752（2012）30-0179-03 Comparison of the therapeutic effect of craniotomy and minimally invasive cranial hematoma aspiration in the treatment of hypertensive cerebral hemorrhage Chen Xu Cheng Gang Wu Jian Department of Neurosurgery，Mianyang Central Hospital 621000 【Abstract】 Objective: To compare the the therapeutic effect of craniotomy and minimally invasive cranial hematoma aspiration in the condition of hypertensive cerebral hemorrhage microscope. Methods: 120 patients with hypertensive cerebral hemorrhage were selected from the department of neurosurgery in our hospital. They were randomly divided into craniotomy group and cranial group with 60 patients in each group. The patients in the craniotomy group were received the treatment of Microscope craniotomy evacuation of hematoma, while the patients in the cranium group were treated by minimally invasive cranial hematoma aspiration. Results: The mean operation time in the cranial group was (0.63 plusmn;0.32) h, it was shorter than that in the craniotomy group ((4.91 plusmn;2.14) h), which also showed significant difference (P lt; 0.05). The GCS score in the craniotomy group was (10.58plusmn;4.17 ), it was significantly lower than that in the cranial group (13.73plusmn; 4.36 ), which showed significant difference (P lt; 0.