显微手术和微创术治疗高血压脑出血的对照研究  

Comparative Study of Microsurgery and Wicresoft Operation Treating Hypertensive Intracerebral Hemorrhage

作　　者：芮奕峰[1] 徐德明[1] 唐玉明[1] 

机构地区：[1]浙江嘉兴市第一医院神经外科,浙江嘉兴314001

出　　处：《中国现代医生》2011年第24期65-67,共3页China Modern Doctor

摘　　要：目的探讨显微手术和微创术治疗高血压脑出血的方法和临床疗效。方法选择2005年6月～2010年6月在我院治疗的335例高血压脑出血患者,其中182例进行小骨窗下显微手术治疗,153例进行微创钻孔引流术治疗,对两组进行对照研究并观察疗效。结果显微手术组治疗182例,结果抢救存活123例,总有效率占67.58%,死亡59例,占32.42%;微创手术组治疗153例,结果抢救存活126例,总有效率占82.36%,死亡27例,占17.64%。结论显微镜下手术与微创手术比较,周围正常脑组织损伤较大,手术后并发症多,死残率高。采用微创手术治疗高血压脑出血比较方便、疗效好,显著提高了生存率和生存质量。Objective To explore the methods and clinical effect of microsurgery and wicresoft operation treating hypertensive intracerebral hemorrhage. Methods All 335 patients with hypertensive intracerebral hemorrhage were divided into microscopic therapy group and wicresoft therapy group. The effects were in two groups were observed. Results There were 182 cases in the Microsurgery therapy group, to save life 123 cases （ 67.58% ） ; death 59 cases （ 32.42% ）. There were 153 cases in the Wicresoft therapy group, to save life 126 cases （ 82.36% ）, death 27 cases （ 17.64% ）. Conclusion Compared with Wicresoft operation, surrounding normal brain tissue damage larger, have more complications after the operation and the death rate is higher treated with Microsurgery. Wicresoft operation uses conveniently, hypertensive intracerebral hemorrhage, and marked curative effect of the wintering sites and the existence of quality.

关 键 词：显微手术 微创术 高血压脑出血 

分 类 号：R651.1[医药卫生—外科学]