“锁孔”微创手术治疗高血压脑出血的临床研究  

Preliminary study on the effectiveness of keyhole surgery on hypertensive intracerebral hemorrhage

作　　者：宋丽明[1] 刘丰年[1] 姚志浩[1] 吴越[1] 钱振宇[1] 钱小忠 卢民[1] 

机构地区：[1]吴江市第二人民医院,江苏吴江215221

出　　处：《中外医学研究》2010年第25期3-5,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的探讨“锁孔”微创手术治疗高血压脑出血的疗效。方法按锁孔手术要求设计切口和入路清除血肿，并与常规骨瓣开颅组进行比较。结果锁孔治疗组43例，手术出血量、输血量、住院时间明显低于常规开颅组（P〈0．05）；血肿清除率、再出血率、病死率及效果良好率均优于常规开颅组，但各项指标统计学分析无统计学意义（P〉0．05）。结论“锁孔”微创手术治疗高血压脑出血疗效确切，可以达到常规骨瓣开颅血肿清除术同样的效果，且手术出血少，大多不用输血，住院时间短，可以提高患者的生存质量，减少并发症，降低病死率，适于基层医院推广应用。Objective To investigate the effectiveness of keyhole surgery on acute hypertensive intracerebral hemorrhage. Methods The position of incision and surgical approaches were designed according to the requirements of keyhole surgery. The clots were totally or subtotal- ly removed under microscope, and the effectiveness of keyhole surgery were compared with routine craniotomy. Results In 43 cases of keyhole group, blood loss, transfusion and length of hospital stay were better than routine craniotomy group （ P 〈 0. 05 ）. Clot removing efficiency, rehemor- rhage rate, midline restoration, mortality, and GCS were also better than routine craniotomy group, but no statistical significance （P 〉 0. 05 ）. Con- clusion The curative effects of keyhole surgery on acute hypertensive intracerebral hemorrhage can achieve the same effectiveness of routine craniotomy with low surgical trauma, which can help to improve the life quality of the patients, decreasing the complications, and lowering the mortality.

关 键 词：高血压脑出血 锁孔手术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]