微创血肿穿刺术与小骨窗血肿清除术在高血压脑出血救治中的临床疗效对比分析  

MINIMALLY INVASIVE HEMATOMA PUNCTURE AND SMALL BONE WINDOW HEMATOMA IN HYPERTENSIVE CEREBRAL HEMORRHAGE IN THE CLINICAL EFFICACY OF TREATMENT COMPARED

作　　者：聂柳[1] 曹德文[2] 夏鹰[1] 李钢[1] 金虎[1] 

机构地区：[1]海口市人民医院神经外科,海口570208 [2]辽源市中心医院神经外科

出　　处：《现代预防医学》2011年第12期2428-2429,2431,共3页Modern Preventive Medicine

摘　　要：[目的]探讨微创与小骨窗血肿清除术在治疗高血压脑出血救治中的可行性和有效性。[方法]应用微创血肿穿刺术治疗高血压脑出血23例,小骨窗血肿清除术治疗高血压脑出血23例,并分别于治疗后进行疗效对比研究。[结果]微创组总有效率91.30,小骨窗组总有效率82.61,两组在治疗前后组内及治疗后组间的神经功能缺损评分两两比较差异有统计学意义(P﹤0.05)。[结论]微创血肿穿刺和小骨窗血肿清除术在救治高血压导致脑出血时均有比较理想的疗效,微创血肿穿刺术效果更加理想一些。[Objective]To investigate the minimally invasive with a small bone window in the treatment of hematoma in hypertensive cerebral hemorrhage feasibility and effectiveness of treatment.[Methods]The minimally invasive hematoma puncture cerebral hemorrhage was performed in 23 cases,a small bone window hematoma treatment of hypertensive cerebral hemorrhage was performed in 23 cases,respectively,and the therapeutic effect before and after treatment was compared.[Results]The total effective rate of minimally invasive was 91.30%,the total effective rate of small bone window was 82.61%.Before and after treatment,the neurological function scores showed significant difference in the two groups（P﹤0.05）.[Conclusion]Minimally invasive hematoma puncture and small bone window hematoma had efficacy in the treatment of hypertensive cerebral hemorrhage,minimally invasive hematoma puncture was more effective.

关 键 词：微创血肿穿刺术 小骨窗血肿清除术 高血压脑出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]