立体定向下血肿穿刺引流术在高血压脑出血治疗中的应用  

Application of stereotactic hematoma evacuation surgery in hypertensive cerebral hemorrhage therapy

作　　者：苏治国[1] 李罡[1] 刘振林[1] 

机构地区：[1]天津市第五中心医院脑科中心,天津300450

出　　处：《中国现代医学杂志》2013年第30期98-101,共4页China Journal of Modern Medicine

基　　金：天津市滨海新区卫生局联合攻关项目(No:2012BWKL001);天津市滨海新区塘沽科技发展项目(No:2012MS05-04)

摘　　要：目的探讨立体定向手术在高血压脑出血治疗中的作用。方法收集127例高血压脑出血患者的临床资料,比较立体定向手术组(66例)与保守治疗组(61例)患者的血肿减少速度及预后。结果立体定向组66例患者术后72 h血肿减少量为(37.0±10.5)mL,高于保守治疗组的(5.0±2.3)mL(P<0.05);立体定向组预后良好的为59.1%,高于保守治疗组的34.4%(P<0.05);立体定向组再出血患者例数为7例(10.6%),保守治疗组再出血例数为4例(6.6%),二者比较无显著性差异(P>0.05)。结论在高血压脑出血患者应用立体定向血肿穿刺引流术可以更快减少血肿体积,缩短病程,改善患者的预后。[ Objective ] To summarize the treatment experiences of application of stereotactic hematoma evacuation surgery in patients with hypertensive cerebral hemorrhage. [Methods] Collected 127 patients with hypertensive cerebral hemorrhage and compared the decrease of hematoma and prognosis between the stereotactie surgery group and the conservative treatment group. [Results] The decrease of hematoma of stereotactic surgery group （37±10.5 mL） was significantly higher than 5±2.3 mL of the conservative treatment group（P 〈0.05）, the patients have good results of stereotactic surgery group is 59.1%, which was significantly higher than conservative treatment. There were ？ rebleeding patients of the stereotactic surgery group compare to 4 patients of the conservative treatment group （P 〉 0.05）. [ Conclusions] The application of stereotactic hematoma evacuation surgery in patients with hypertensive cerebral hemorrhage, which can decrease the volume faster, improve outcomes of the patients.

关 键 词：立体定向手术 高血压脑出血 保守治疗 尿激酶 预后 

分 类 号：R743.34[医药卫生—神经病学与精神病学]