外科手术治疗高血压脑出血的效果评价  

Systematic assessment of the effect of surgical treatment for hypertensive intracerebral hemorrhage

作　　者：雍利军[1] 贾元光[1] 何明方[1] 钟冬胜[1] 

机构地区：[1]广元市中心医院神经外科,四川广元628000

出　　处：《西部医学》2016年第6期849-851,共3页Medical Journal of West China

摘　　要：目的评价外科手术治疗高血压脑出血患者的临床效果。方法选取我院2010年1月-2015年12月收治的93例高血压脑出血患者为研究对象,根据患者病情及手术指征将患者分为A、B和C 3组,A组手术方法采用小骨窗显微手术血肿清除术,B组采取大骨瓣开颅血肿清除术,C组采取颅骨钻孔血肿抽吸引流术,并对3组效果进行评价。结果手术治疗结果显示,93例患者中死亡19例,死亡率为20.43%。早期接受手术治疗的患者优良率明显高于非早期手术患者,两者间差异有统计学意义（P〈0.05）;不同手术方式治疗结果显示,小骨窗显微手术与其他两种手术相比,有较好的手术治疗效果,差异有统计学意义（P〈0.05）;大骨瓣开颅血肿清除术与其他两种手术效果相比,死亡率明显较高,差异亦有统计学意义（P〈0.05）。结论对于高血压脑出血患者应根据个体情况选择不同的手术方式和不同的治疗时机,才能够从根本上降低死亡率,提高患者的生存率和生活质量。Objective To explore the effect of surgical treatment of hypertensive cerebral hemorrhage patients.Methods 93 patients with hypertensive cerebral hemorrhage were divided into Group A,Group B and Group C.Group A was treated with removal of hematoma by large bone flap craniotomy.Group B was treated with microsurgery with small bone window hematoma surgery.Group C was treated with skull drilling hematoma aspiration and drainage operation.The clinical effect was observed.Results Of the 93 patients,there were 19 patients died（20.43%）.The effect of early operation was better than that of non-early operation.The clinical effect of Group B was better than that of Group A and Group C（P〈0.05）.The died rate of Group A was higher than that of Group B ad Group C（P〈0.05）.Conclusion The operation time and operation methods is important to hypertensive intracerebral hemorrhage.Different operation time and operation methods for different patients can decrease death rate and increase life quality.

关 键 词：外科手术 高血压脑出血 效果评价 

分 类 号：R651.11[医药卫生—外科学]