颅内血肿微创术治疗急性重型脑出血的临床研究  

Clinical study on intracranial hematoma microscopic wound dissection in treating acute serios cerebral hemorrhange.

作　　者：王志艺[1] 叶宗诚[1] 董飞燕[1] 林松[1] 李志亮[1] 董凯碧[1] 李旺[1] 陈寿荣[1] 

机构地区：[1]化州市人民医院神经内科,广东化州525100

出　　处：《现代保健（医学创新研究）》2007年第05X期8-9,共2页

摘　　要：目的 探讨颅内血肿微创术治疗急性重型脑出血的临床疗效.方法 采用YL-1型颅内血肿穿刺针治疗31例急性重型脑出血患者（治疗组）与锥颅置硅胶脑式引流管引流术（对照组A）、内科保守治疗（对照组B）进行比较.结果 治疗组的总有效率、血肿总清除率和神经功能恢复均优于对照组A、B（P＜0.01）,病死率和病残率均低于对照组A、B.结论 采用YL-1型颅内血肿微创穿刺粉碎清除术治疗急性重型脑出血患者,血肿清除率高,临床疗效好,能提高病人生存质量,改善病残程度,降低致残率及病死率.Objective To investigate the clinical curative efficiency of treat serious cerebral hemorrhange with YL - 1 intracranal hematoma microscopic wound dissection. Methods Treats 31 patients （ treatment group） of acute serious cerebral hemorrhange with YL - 1 intracranial hematoma microscopic wound dissection, and drainage of cone intracranial standing silica gel brain drainage - tube （ the contrast group A） , and medical retention treatments （the contrast group B） ,observe the results. Results The total effective rate,the hematoma general clearance and nervous function refection of the treatment group,all superior to the control group A,B （ P 〈0.01 ） ,the patient death -rate or maim rate of the treatment group, all superior to the control group A, B. Conclusion Using YL - 1 intracranial hematoma microscopic wound dissection to treat the patient of acute serious cerebral hemorrhange, can improve the hematoma clearance and the clinical curative effect, improve handicap level,and debase handicap rate.

关 键 词：颅内血肿微创术 YL-1型穿刺针 血肿冲洗液 急性重型脑出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]