脑内小血肿超早期微创血肿清除术与非手术治疗的疗效对比性研究  

Curative effective of patients with small Intracerebral hematomas after superearly minitraumatic hematoma aspiration or non-surgery:a comparison study

作　　者：张永超[1] 姜勇[1] 耿莉[2] 李卫峰[2] 

机构地区：[1]山东大学临床医学院济南市中心医院,山东济南250013 [2]山东省立医院,山东济南250021

出　　处：《吉林医学》2005年第12期1278-1279,共2页Jilin Medical Journal

摘　　要：目的:探讨不同治疗方法对脑内小血肿的疗效。方法:对106例脑内小血肿患者按入院先后顺序随机分两组,每组各53例,分别行超早期微创血肿清除术和非手术治疗,出院时主要对生存病例用Barthel日常生活能力指数评估ADL能力进行对照比较。结果:微创手术组得分61～100分(生活自理)病例数占本组总病例数的77.35%。非手术组占本组总病例数的39.62%。两组ADL能力方面差异有显著统计学意义,P<0.01。结论:选用超早期微创血肿清除术治疗脑内小血肿操作简便,疗效好,宜于推广。Objective To explore curative effects on small Intracerebal hematomas with different treatments. Method 106 cases of small Intracerebal hematomas randomly were divided into 2 groups based on admission order. Each group with same 53 cases ,was treated with minitraumatic hematoma aspiration in superearly period or non-surgery. By way of research of all survivals, the barthel Index of independence in activity of daily Life was statistically analyzed ,when they discharged. Results In the surgery group 77.35% of all cases was the self-care cases who scored 60-100, but was only 39.62%in non-surgery group. The ability of ADL between each group significantly in statistics （P〈0.01）. Conclusion The treatment with superearly mintraumatic hematoma aspiration on small Intracerebral hematomas patients is very effective and may be considered the best choice.

关 键 词：脑内小血肿 超早期 微创术 疗效 

分 类 号：R651[医药卫生—外科学]