血肿穿刺术与常规开颅手术治疗高血压脑出血的临床疗效比较  

Comparison of clinical efficacy of micro-invasive hematoma puncture drainage and traditional craniotomy in hypertensive cerebral hemorrhage

作　　者：郑维涛[1] 高强[1] 熊东胜 ZHENG Wei-tao;GAO Qiang;XIONG Dong-sheng(Neurosurgery Department,the People＇s Hospital of Baoji,Baoji 721000,China)

机构地区：[1]宝鸡市人民医院神经外科,陕西宝鸡721000

出　　处：《临床医学研究与实践》2018年第17期60-61,68,共3页Clinical Research and Practice

摘　　要：目的探讨微创血肿穿刺引流术和常规开颅手术治疗高血压脑出血的临床疗效差异。方法选择2016年1月至2017年5月收治的70例高血压脑出血患者为研究对象,按照手术方法的不同将其分为血肿穿刺组(n=38)和开颅手术组(n=32),比较两组患者术前资料、围术期指标、GOS评分、术后肺部感染情况。结果血肿穿刺组的术中出血量、住院时间、出血量>60~90 mL的患者肺部感染率优于开颅手术组(P<0.05)。开颅手术组的手术时间、术后出血量优于血肿穿刺组(P<0.05)。两组GOS预后评分、出血量30~60 mL的患者肺部感染率均无显著性差异(P>0.05)。结论对于出血量30~60 mL的患者,两种手术方法均可选择,不同出血量患者临床治疗还需结合患者实际,选择最佳治疗方法。Objective To explore the difference in efficacy of micro-invasive hematoma aspiration and traditional craniotomy in treating hypertensive cerebral hemorrhage. Methods Seventy cases with hypertensive cerebral hemorrhage were selected as study objects from January 2016 to May 2017 in our hospital. They were divided into hematoma puncture group（n=38）and craniotomy group（n=32）. The preoperative data, perioperative indices, GOS scores, postoperative pulmonary infections were compared between the two groups. Results The intraoperative hemorrhage volume, hospitalization time, the pulmonary infection rate in patients with bleeding volume 60-90 mL in the hematoma puncture group were better than those in the craniotomy group（P〈0.05）. The postoperative bleeding volume and operating time in the craniotomy group were better than those in the hematoma puncture group（P〈0.05）. There were no significant differences of GOS prognosis scores and pulmonary infection rates in patients with bleeding volume 30-60 mL between the two groups（P〈0.05）. Conclusion For the patients with bleeding volume 30-60 mL, both surgical methods can be selected. The clinical treatment of different bleeding volume patients should be combined with the patients＇ state of an illness, and the best treatment methods is selected.

关 键 词：高血压脑出血 微创血肿穿刺引流术 开颅手术 

分 类 号：R651.1[医药卫生—外科学]