微创穿刺引流治疗小灶高血压脑出血的临床研究(附典型病例1例)  

Clinical Study on the Treatment of Special Treatment of Hypertensive Cerebral Hemorrhage Minimally Invasive Surgery(Report of 1 Typical Cases)

作　　者：李立新[1] 梁永胜[1] 孙利民[1] 王艳玲[1] 徐红强[1] 

机构地区：[1]新乡市第一人民医院神经内科,453000

出　　处：《中国继续医学教育》2016年第5期76-77,共2页China Continuing Medical Education

摘　　要：目的探讨微创穿刺引流治疗小灶高血压脑出血治疗效果。方法以2001年5月-2015年10月在我院收治的120例（30 ml≤出血量〈45 ml）高血压脑出血患者为研究对象,分为治疗组（微创组,60例）和对照组（保守治疗组,60例）。治疗组在采用常规内科治疗下据CT片定位,用YL-l型颅内血肿粉碎穿刺针行微创穿刺引流术,对照组以常规内科治疗。比较两组间的治疗效果。结果治疗组60例,治疗28 d后总有效率是88.33%;对照组60例,治疗28 d后总有效率为75.00%。治疗后神经功能缺损评分比较,治疗组神经功能缺损评分低于对照组。结论微创穿刺引流治疗小灶脑出血优于保守治疗。Objective To explore the therapeutic effects of minimally invasive puncture drainage in treating focal hypertensive cerebral hemorrhage. Methods 120 hyperten-sive cerebral hemorrhage patients（whose blood loss were more than or equal 30 ml, and less than 45 ml） who were treated in our hospital from May 2001 to October 2015 were researched, and divided into treatment group（minimally invasive group, 60 cases） and control group（conservative treatment group, 60 cases）. The treatment group was treated with both conven-tional medical treatment and minimally invasive puncture drainage with YL-l intracranial hematoma pulverized puncture needle which is positioned according to CT slices, and the control group was treated with conventional medical treatment only. The therapeutic effe-cts of two groups were evaluated. Results In the treatment group 60 cases, the total effective rate was 88.33% after 28 d, the control group of 60 cases, the total effective rate was 75.00% after 28 d treatment. After treatment, neurological deficit scores were compared, and the scores of neurological deficits in the treatment group were lower than those in the control group. Conclusion Compared with the conservative treatment, the minimally invasive puncture drainage behaves better in teating focal cerebral hemorr hage.

关 键 词：微创 小灶脑出血 临床疗效 

分 类 号：R651[医药卫生—外科学]