微创清除术治疗高血压脑出血的疗效评价  

The effect analysis of microinvasive evacuation of hematoma in treatment of 69 hypertensive brain hemorrhage patients

作　　者：吴君仓[1] 汪凯[1] 余本富[2] 童立鹤 李洋[2] 

机构地区：[1]安徽医科大学第一附属医院神经内科,合肥230022 [2]肥西县人民医院,肥西231200

出　　处：《安徽医科大学学报》2005年第3期262-264,共3页Acta Universitatis Medicinalis Anhui

基　　金：安徽省自然科学基金(编号:01043602);安徽省优秀青年科技基金([2002]02);国家自然科学基金(30370479)

摘　　要：目的探讨颅内血肿微创清除术对高血压性脑出血的治疗效果。方法使用YL1型颅内血肿粉碎穿刺针+血肿冲洗液冲洗,对69例患者治疗与内科保守治疗为对照组进行比较。结果治疗组再出血率11.76%、致残率18.38%、病死率8.9%、有效率91.2%。对照组再出血率11.42%、致残率36.43%、病死率22.7%、有效率48.6%。两组比较致残率、病死率、有效率差异均有显著性(P<0.05),再出血差异无显著性(P>0.05)。结论微创清除术治疗高血压脑出血安全有效,病死率低、致残率低、预后好。Objective To discuss the clinical effect of microinvasive evacuation of hematoma in treatment of hypertensive brain hemorrhage.Method 69 patients with the disease were treated with YL-1 puncture needle for intracranial hematomafragmentation and washing liquid for hem atoma. The therapy effect were compared with the effects of conservative internal medici ne for control group. Results Rehemorrhage rate, disabling rate , fatality rate, and effective rate of the treated group by this therapy were 11 .76%, 18.38%, 8.9%, 91.2%, respectively, while, 11.42%, 36.43%, 22.7%, 48 .6% of the control group, respectively. Disabling rate, fatality rate, and effe ctive rate were significantly different between the two groups(P<0.05) except for rehemorrhage rate (P>0.05). Conclusion The therapy of microinvasive evacuation of hematoma in treatment of hypertensive brain hemor rhage is safe and effective. Patients treeted with this therapy had at low disabling and fatality rate and a better prognosis.

关 键 词：颅内出血 高血压性/外科学 

分 类 号：R743.34[医药卫生—神经病学与精神病学]