两种微侵袭手术治疗高血压脑出血的疗效对比研究  

Evaluation on the therapeutic effects of two minimal invasive therapies for hypertensive intracerebral hemorrhage

作　　者：王国平[1] 李淮玉[1] 任明山[1] 杨毅[1] 孙柏松[1] 朱守政[1] 汪银洲[1] 陈宜鑫[1] 周清潮[1] 周本秀[1] 

机构地区：[1]安徽省立医院神经内科,合肥230001

出　　处：《安徽医学》2005年第4期265-268,共4页Anhui Medical Journal

基　　金：国家十五科技攻关课题"脑卒中规范化外科治疗技术推广应用研究";课题任务书编号:2001BA703B16(B)。

摘　　要：目的探讨颅内血肿微创术与简易钻颅抽吸术治疗高血压脑出血的手术适应证、手术时机、手术方法,以及疗效评估。方法对各临床资料相匹配52例中等量以上的脑出血患者分别采用颅内血肿微创术、简易钻颅抽吸术以及内科治疗的近期和远期疗效进行比较分析。结果手术的两组近期和远期疗效均优于内科治疗组;颅内血肿微创术治疗组近期疗效优于简易钻颅抽吸术(P<0.05),但远期疗效两组无差异(P>0.05)。结论两种微侵袭手术方法治疗中等量以上脑出血疗效优于内科治疗,而且对GCS>8分且出血量在30～60ml的脑出血患者疗效最佳。Objective To discuss the opportunity and indication and therapeutic effects of two minimal invasive therapies for hypertensive intracerebral hemorrhage. Methods To observe the therapeutic effects in the near future and long-term of two minimal invasive therapies and drug treatment for hypertensive intracerebral hemorrhage. Results The therapeutic effect of the micropuncture of intracerebral hematoma in the near future was better than that of the simple and easy aspiration and thrombolysis of intracerebral hematoma (P<0.05). The two minimal invasive therapies were not different in the therapeutic effect of long-term (P>0.05). Conclusion Two minimal invasive therapies for hypertensive intracerebral hemorrhage are better than drug treatment. The therapeutic effect is the best in patients of GCS>8 scale and 30～60 ml intracerebral hematoma.

关 键 词：微侵袭手术 手术治疗 高血压 脑出血 颅内血肿清除术 

分 类 号：R651.12[医药卫生—外科学]