微创锥孔引流对脑深部自发性出血的疗效评价  

Minimally invasive countersunk draining for the treatment of spontaneous hemorrhage in the deep cerebra: efficiency evaluation

作　　者：杨海贵[1] 米延起[2] 王亚飞[1] 张维涛[1] 范百亚 杜宏瑞[1] 

机构地区：[1]延安市人民医院神经外科 [2]山东省潍坊市人民医院药剂科 [3]延安市人民医院神经内科,陕西延安716000

出　　处：《中华神经外科疾病研究杂志》2013年第4期348-351,共4页Chinese Journal of Neurosurgical Disease Research

基　　金：国家自然科学基金资助项目(81171170);江苏省自然科学基金资助项目(BK2010459)

摘　　要：目的探讨脑深部中量自发性出血微创锥孔引流的疗效。方法选取我院神经内、外科同期收治的58例脑深部中量自发性出血患者,在常规综合治疗的基础上分为两组,治疗组28例行微创锥孔置管外引流术,保守治疗的30例患者作为对照组,从血肿引流吸收、神经功能缺损等方面进行比较。结果治疗组在血肿引流吸收时间、神经功能缺损改善时间差异均明显低于对照组(P<0.05),临床神经功能缺损评分显效率为89.3%,高于对照组的63.3%(P<0.05)。结论微创锥孔置管引流术具有迅速引流血肿、减轻继发损伤、挽救神经功能等优点,对于脑深部中量自发性出血患者可明显缩短治疗、住院时间,有效改善神经功能缺损,提高临床疗效。Objective To evaluate the effect of minimally invasive countersunk draining in treating spontaneous hemorrhage in the deep cerebra. Methods A total of 58 eases of spontaneous hemorrhage in the deep cerebra were divided into two groups： treatment group （28 cases） and control group （30 cases）. All cases were treated by routine combined therapy. In the treatment group, minimally invasive countersunk draining was also applied. The curative effect of hematoma drainage and neurological impairment were compared between two groups. Results The time of hematoma drainage and neurological improvement in treatment group was shorten than those of control group （P 〈0.05）. Effective rate of neurological impairment improvement in treatment group was 89.3%, which was higher than that of control group （63. 3% ） （P 〈 0. 05 ）. Conclusion Minimally invasive countersunk draining has the advantage of quick hermtoma clearing, less secondary damage, and the neural ftmctions protection. It can obviously raise the curative effect, shorten the length of stay and improve the neural function for the patients with spontaneous hemerrhage in the deep cerebra.

关 键 词：脑深部出血 微创 锥孔引流 疗效评价 

分 类 号：R651.1[医药卫生—外科学]