两种手术方法治疗高血压基底节区脑出血的疗效比较  

Comparison and Analysis of the Effect of Two Different Surgical Treatments for Hypertensive Basal Ganglia Hemorrhage

作　　者：宋伟健[1] 胡深[1] 颜杰浩[1] 

机构地区：[1]广东医学院附属南山医院/深圳市第六人民医院神经外科,518052

出　　处：《医学研究杂志》2009年第7期90-92,共3页Journal of Medical Research

摘　　要：目的比较分析两种手术方法治疗高血压基底节区脑出血的疗效。方法选择出血量大于30ml,无脑疝发生的高血压基底节区脑出血病人68例,分别采取小骨窗开颅术及穿刺抽吸引流术治疗。对照组24例,为同期不同意手术治疗的脑出血患者,给予常规内科保守治疗。结果两组手术患者的有效率、功能恢复情况、病死率均优于保守治疗组,而再出血率、急性期并发症的发生率无明显差异。两种手术组间的再出血率、有效率、平均住院时间、功能恢复情况、急性期并发症的发生率及病死率比较均无显著性差异。结论小骨窗开颅及穿刺抽吸术治疗高血压基底节区脑出血的疗效相当,临床中可根据情况选择手术方法。Objective To compare and analysis two different surgical treatments for hypertensive basal ganglia hemorrhage. Methods 68 patients with hypertensive basal ganglia hemorrhage with no brain hernia received small window craniotomy microsurgery and aspira- tion. 24 patients received conservative treatment as the control group in the same time, who didn＇ t accepted the surgery. Results Two groups of surgical treatments were better than the control group in aspect of effective rate, functional recover and mortality. And the rebleeding rate and complication incidence in acute - time had no difference. There were no difference in aspect of effective rate, average stay,functional recover and mortality between the two groups of surgical treatments. Conclusion Small window craniotomy mierosurgery and aspiration had same effect on hypertensive basal ganglia hemorrhage. We can choice the method of operation according to the case.

关 键 词：高血压脑出血 小骨窗开颅术 穿刺抽吸术 治疗 

分 类 号：R743.34[医药卫生—神经病学与精神病学] R683.42[医药卫生—临床医学]