锥颅微创颅内血肿抽吸术61例的手术时机临床分析  

The clinical analyze of the surgery timing for 61 cases of skull minimally invasive intracranial hematoma aspiration

作　　者：吕新明 蔺顺利 高代银 曹小清 晏进 曾从梅 

机构地区：[1]陕西省南郑县人民医院,陕西南郑723100

出　　处：《吉林医学》2013年第14期2648-2649,共2页Jilin Medical Journal

摘　　要：目的:探讨应用一次性软硅胶管引流方法行微创颅内血肿清除术,选择不同的手术时机探讨对脑出血患者的救治率、肺炎发生率、肢体运动障碍恢复起始时间、神经功能缺损恢复及住院日影响的相关问题。方法:将61例基底节和脑叶部位脑出血患者的手术时机选择在发病后6 h、24 h内、>24 h的不同时间段行锥颅微创颅内血肿清除术,术后观察不同的手术时机对患者的救治率、肺炎发生率、肢体运动障碍恢复起始时间、神经功能缺损恢复及住院日的影响。结果:该手术方法于6 h内抢救成功率(92.2±2.2)%,肺炎发生率(28.2±1.6)%,神经功能恢复早而快,病程明显缩短(P<0.05)。结论:脑出血发病后6 h内锥颅微创颅内血肿清除术治疗明显有利于提高脑出血患者救治成功率和神经功能缺损的康复,残障程度轻,更适用于基层医院临床应用和推广。Objective To choice an optimal therapy（ application of disposable soft silicone tube drainage）that is the minimally invasivc surgery for intracranial hematoma, and to select the most treatment period which all are helpful to remedy cerebral hemorrhage, neurological rehabilitation,reduce complication,such as incidence of pneumonia, arms and legs functional recovery start time, and shorten hospitalday. Methods 61 cases patients of basal ganglia and the cerebral lobes parts of the brain bleeding,the time of surgery selected on 6 h,24 h, 〉 24 h, and were observed the cure rate of patients, complication, such as the incidence of pneumonia, neurological deficit recovery and hospi- talday. Results The survival rate within 6 hours was （92.2 ± 2.2）% and the complication, such as incidence of pneumonia was （28.2 ±1.6） %, neurological recovery was early and fast, especially, shorter hospitalday, statistically significant differences （ P 〈 0.05 ）. Conclu- sion the time of surgery selected on 6h treatment of intracranial hematoma is clearly advantageous to improve the treatment success rate of the patients with cerebral hemorrhage and neurological rehabilitation, disability is mild, And thus, shall be practice in clinical application and promotion of primary hospitals.

关 键 词：脑出血 微创颅内血肿清除术 手术时机 

分 类 号：R651.1[医药卫生—外科学]