脑内小血肿早期微创血肿清除术的临床研究  

Clinical Study on Minitraumatic Hematoma Aspiration in Small Intracerebral Hematomas

作　　者：田洪奎 

机构地区：[1]蒙阴县第二人民医院外科,山东蒙阴276200

出　　处：《中国伤残医学》2009年第5期23-25,共3页Chinese Journal of Trauma and Disability Medicine

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2组,每组各53例,分别行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%。2组ADL能力方面差异有显著统计学意义P<0.01。结论:选用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 Intracerebral hematomas with different treatments. Methods： 106 cases of small Intracerebral hematomas randomly were divided into 2 groups based on admission order. Each group, with same 53 cases ,was treated with minitraumatic hematoma aspiration in superealy period or non--surgery. All survivals cases, 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 might be very effective and may be considered the best choice.

关 键 词：脑内小血肿 早期 微创术 疗效及预后 

分 类 号：R651[医药卫生—外科学]