手术时机对微创治疗高血压脑出血的预后影响  

The Effect of Operation Time on the Prognosis of Hypertensive Cerebral Hemorrhage Treated by Minimally Invasive Surgery

作　　者：陈灿中[1] 程建杰[1] 张睿[1] 缪铮 

机构地区：[1]大理学院附属医院神经外科,云南大理671000

出　　处：《中外医疗》2014年第3期9-9,11,共2页China & Foreign Medical Treatment

摘　　要：目的探讨研究手术时机对微创治疗高血压脑出血的预后影响。方法根据不同的治疗时机,将68例患者随机分为对照组(34例)和实验组(34例),两组患者均接受了颅内血肿微创穿刺引流术,其中实验组在出血后6 h内接受手术,对照组接受手术的时间>6 h,比较两组疗效。结果实验组优良率为64.7%,好于对照组的41.2%,且两组之间差异有统计学意义(P<0.05);再出血和再开颅的情况比较结果表明,两组之间差异无统计学意义(P>0.05)。结论对于高血压脑出血患者,超早期的颅内血肿微创穿刺引流术能够取得较好的疗效。Objective To investigate the effect of operation time on the prognosis of hypertensive cerebral hemorrhage （HCH） by minimally invasive surgery （MIS）. Methods 68 cases with HCH were randomly divided into the control group （34 cases） and the experimental group （34 cases） according to different operation times. All the patients in two groups underwent minimally invasive puncture and drainage of intracranial hematoma; the experimental group received the operation within 6h after hemorrhage, while the control group received the operation later than 6h after hemorrhage. And the curative effect was compared between the groups. Results The excellent and good rate of the experimental group was 64.7%, better than 41.2% of the control group, the difference between the two groups was significant （P〈0.05）; there was no significant difference between the two groups in rebleeding and re- craniotomy （P〉0.05）. Conclusion For patients with HCH, super early minimally invasive puncture and drainage of intracranial hematoma can achieve better treatment effect.

关 键 词：微创 手术时机 高血压脑出血 

分 类 号：R651.1[医药卫生—外科学]