立体定向软通道微创血肿穿刺外引流术治疗高血压脑出血的临床研究  

Clinical Research of the Treatment of Soft Channel Minimally Invasive Stereotactic Puncture and Drainage Surgery for Hypertensive Intracerebral Hemorrhage

作　　者：傅建华[1] 王茂武[1] 

机构地区：[1]广州医科大学附属第五医院神经外科,广东广州510700

出　　处：《临床医学工程》2014年第7期867-868,共2页Clinical Medicine & Engineering

摘　　要：目的探讨立体定向软通道微创血肿穿刺外引流术治疗高血压脑出血的临床疗效。方法 56例高血压脑出血患者被随机分为对照组(开颅血肿清除术)和观察组(微创血肿穿刺外引流术)各28例,根据神经功能缺损程度评分标准,对两组神经功能缺损程度评分、临床疗效、并发症、生存率,进行观察和比较。结果与对照组相比,观察组术后3个月和术后9个月神经功能缺损评分明显降低,治疗总有效率、生存率均显著升高,并发症发生率显著降低,P<0.05。结论对于高血压脑出血患者,立体定向软通道微创血肿穿刺外引流术治疗能够明显提高临床疗效,降低并发症的发生率,有利于提高患者预后的生活质量。Objective To study the clinical efficacy of the treatment of soft channel minimally invasive stereotactic puncture and drainage surgery for hypertensive intracerebral hemorrhage. Methods 56 patients with hypertensive intracerebral hemorrhage were randomized into the control group （craniotomy） and the observation group （minimally invasive stereotactic puncture and drainage surgery）, 28 patients per group. The neurological function deficit scores, clinical efficacy, complications and survival rates in the two groups were observed and compared according to the related standards. Results compared with the control group, the neurological function deficit scores were significantly decreased after 3 months and 9 months after surgery, the total effective rate and survival rate were obviously increased, the incidence of complications was significantly reduced in the observation group （P 〈0.05）. Conclusions For patients with hypertensive intracerebral hemorrhage, the treatment of soft channel minimally invasive stereotactic puncture and drainage surgery can significantly increase the clinical efficacy, reduce the incidence of postoperative complications, and improve the patients＇prognosis quality.

关 键 词：微创血肿穿刺外引流术 高血压脑出血 神经功能缺损评分 疗效 

分 类 号：R743.34[医药卫生—神经病学与精神病学]