定向软通道置软管血肿吸引术治疗高血压脑出血的疗效分析  

Effect of Directional Soft-channel Tube Catheterization of Hematoma Aspiration in the Treatment of Hypertensive Cerebral Hemorrhage

作　　者：梁其志 伍益 昌大平 

机构地区：[1]江门市江海区人民医院,广东江门529080

出　　处：《现代医院》2018年第1期96-97,101,共3页Modern Hospitals

基　　金：江门市科技计划项目(2017A2041)

摘　　要：目的探析定向软通道置软管血肿吸引术治疗高血压脑出血的效果。方法回顾性分析2015年8月—2017年10月收治的66例高血压脑出血患者的临床资料,回顾患者的手术方法分组,对照组给予微创锥颅血肿碎吸术治疗,观察组给予定向软通道置软管血肿吸引术治疗,收集两组的围手术指标。结果两组的死亡率差异不显著,P>0.05,在生存患者的各个指标中:两组的术后并发症发生率差异不大P>0.05;而再次出血率,观察组低于对照组,P<0.05;住院时间,观察组比对照组短P<0.05;术前术后2周的NIHSS评分方面,两组差异均不明显,P>0.05。结论硬通道与软通道的血肿吸引术均能起到较好的治疗效果,改善高血压脑出血的预后,但软通道手术有助于避免术后的再次出血,促进患者康复。Objective To analyze the effect of directional soft-channel tube catheterization of hematoma aspiration in the treatment of hypertensive cerebral hemorrhage. Methods Retrospectively the clinical data of 66 patients with hypertensive cerebral hemorrhage from August,2015 to October,2017 were analyzed. The control group was given minimally invasive conical cranial hematoma aspiration,and the observation group received directional soft-channel tube catheterization of hematoma aspiration The two groups were compared in terms of the perioperative indexes. Results In respect of mortality rate,the two groups had no significant difference( P > 0. 05). Among all the indexes of survival patients in the two groups,the development of postoperative complications showed no significant difference( P > 0. 05); the rebleeding rate in the observation group was significantly lower than that of the control group( P < 0. 05); the hospital stay of the observation group was shorter than that of the control group( P < 0. 05); In view of NIHSS scores of 2 weeks before and after operation,the two groups had no significant difference( P > 0. 05). Conclusion Hematoma aspiration of both hard and soft channels can achieve better therapeutic effect and improve the prognosis of hypertensive cerebral hemorrhage. Soft channel surgery can also avoid postoperative rebleeding and promote the rehabilitation of patients.

关 键 词：定向软通道置软管血肿吸引术 锥颅血肿碎吸术 高血压脑出血 神经功能 

分 类 号：R651.1[医药卫生—外科学]