高血压性脑出血碎吸与开颅治疗比较  

Intracranial breaking and drainaging of hematoma or removal through craniotomy in hypertensive cerebral hemorrhage

作　　者：苏贺先[1] 娄飞云[1] 于振国[1] 张少军[1] 杨百春 刘长文[1] 

机构地区：[1]蚌埠医学院附属医院神经外科

出　　处：《蚌埠医学院学报》1999年第1期21-22,共2页Journal of Bengbu Medical College

摘　　要：目的：对高血压性脑出血采用钻颅碎吸与开颅两种治疗方法的近期与远期疗效比较。方法：９７例随机分组，采用ＣＴ定位、颅内碎吸与传统开颅清除血肿。术后随访３～１２个月。结果：碎吸组与开颅组在降低病死率和提高远期生存质量方面，差异均无显著性（Ｐ＞０．０５）。结论：首选碎吸治疗高血压性脑出血，不一定要行开颅术。Objective:To compare the immediate and nemote effects of intracranial breaking and drainaging hematoma with that of surgical removal through craniotomy in hypertensive cerebral hemorrhage.Methods:97 cases were divided randomly into two groups:one group treated with intracranial breaking and drainaging of hematomas and another group by traditional craniotomy with the localization by CT.All patients were followed up from 3 to 12 months after surgical manipulation.Results:The difference in decreasing of fatality rate and improving in nemote effect in survival quality between the two groups was not significant( P >0.05).Conclusions:Intracranial breaking and drainaging of hematoma should be first of choice in treating the hypertensive cerebral hemorrhage.

关 键 词：脑出血 高血压 并发症 外科手术 

分 类 号：R544.106[医药卫生—心血管疾病] R743.340.5[医药卫生—内科学]