四种方法治疗丘脑出血的疗效对比分析  

Comparative analysis of four different treatments for hypertensive thalamic hemorrhage

作　　者：张入丹[1] 余政[1] 王剑波[1] 邓超[1] 李中林[1] 吴小波[1] 张轶行[1] 耿保伟[1] 

机构地区：[1]重庆市涪陵中心医院神经外科,408000

出　　处：《中国现代神经疾病杂志》2012年第4期473-475,共3页Chinese Journal of Contemporary Neurology and Neurosurgery

摘　　要：根据丘脑出血患者入院时临床表现、出血量、脑室积血程度、中线移位程度、患者或家属意愿,分别选择保守治疗、双侧侧脑室额角钻孔引流术、CT定位血肿穿刺引流术+双侧侧脑室额角钻孔引流术和大骨瓣血肿清除术+去骨瓣减压术。120例患者共死亡33例,其中保守治疗7例、双侧侧脑室额角钻孔引流6例、双侧侧脑室额角钻孔引流术+CT定位血肿穿刺引流术8例、大骨瓣血肿清除术+去骨瓣减压术12例,不同治疗方式之间比较,差异具有统计学意义(P<0.05)。根据丘脑出血患者病情严重程度、出血量、脑组织受损范围等选择相应治疗方法,有益于提高治愈率及患者生存质量。One hundred and twenty patients with hypertensive thalamic hemorrhage were treated by different methods according to clinical situation and patients or family members. In this study 33 patients died： 7 patients were treated with conservative therapy, 6 patients with bilateral ventricle drainage, 8 patients with bilateral ventricle drainage plus hematoma puncture and aspiration, 12 patients with hematoma evacuation and decompressive cranioectomy. Comparison between different treatments revealed a statistically significant difference （P 〈 0.05）. The treatment for hypertensive thalamic hemorrhage should be treated by different methods according to various clinical conditions to obtain better outcome.

关 键 词：脑出血 丘脑 神经外科手术 

分 类 号：R651.1[医药卫生—外科学]