微创颅内血肿清除术治疗脑出血的临床疗效分析  

Clinical analysis of minimally invasive intracranial hematoma evacuation in the treatment of cerebral hemorrhage

作　　者：许国栋[1] 邢俊领[1] 张永森[1] 武莉娜[1] 赵遇辉[1] 王玉峰[1] 

机构地区：[1]新乡医学院第三附属医院神经外科,453000

出　　处：《国际医药卫生导报》2016年第9期1232-1234,共3页International Medicine and Health Guidance News

摘　　要：目的探讨微创颅内血肿清除术在脑出血患者中的临床治疗效果。方法选取2015年1月至9月本院诊治的80例脑出血患者资料进行分析，采用随机对照方法将患者分为对照组和实验组，对照组采用传统开颅手术治疗，实验组采用微创颅内血肿清除术治疗，比较两组疗效。结果实验组患者手术时间、术中出血量以及血清BSE浓度显著低于对照组（P〈0．05）；两组患者治疗前NIHSS以及BI评分比较差异无统计学意义（P〉0．05）；实验组治疗后3周NHISS评分显著低于对照组（P〈0．05）；实验组治疗后3周BI评分显著高于对照组（P〈0．05）；两组患者治疗前血肿、水肿体积比较差异无统计学意义（P〉0．05）；实验组治疗后3、7、14d血肿、水肿体积显著小于对照组（P〈0．05）。结论脑出血患者采用微创颅内血肿清除术治疗效果理想，能够提高临床疗效，手术创伤也比较小，值得推广应用。Objective To investigate clinical outcomes of minimally invasive intracranial hematoma evacuation in the treatment of patients with cerebral hemorrhage. Methods 80 patients with cerebral hemorrhage in our hospital from January 2015 to September 2015 were divided into control group and experimental group with randomized controlled method. Control group received traditional craniotomy, while experimental group received minimally invasive intracranial hematoma evacuation. Compared clinical outcomes of two groups. Results Operative time, blood loss and serum concentration of BSE of experimental group were significantly lower than those of control group （P〈0.05）. There were no statistically significant differences in NIHSS and BI scores between two groups before treatment （P〉0.05）; NHISS score of experimental group 3 weeks after treatment was significantly lower than that of control group （P〈0.05）, BI score was significantly higher （P〈0.05）. There were no statistically significant differences in hematoma, edema volume between two groups before treatment （P〉0.05）; hematoma, edema volume of experimental group 3, 7, 14 days after treatment were significantly less than those of control group （/＇〈0.05）. Conclusion Minimally invasive intracranial hematoma evacuation has ideal clinical effect in the treatment of cerebral hemorrhage, with relatively small surgical trauma, which should be widely applied.

关 键 词：微创颅内血肿清除术 脑出血 治疗效果 

分 类 号：R743.34[医药卫生—神经病学与精神病学]