颅内血肿微创清除术临床治疗效果探析  

Analysis of Clinical Treatment Effect of Minimally Invasive Surgery for Intracranial Hematoma

作　　者：李政立 LI Zheng-li(Department of Surgery,Huadian People’s Hospital,Huadian,Jilin Province,132400 China)

机构地区：[1]桦甸市人民医院外科,吉林桦甸132400

出　　处：《中外医疗》2018年第8期76-78,共3页China & Foreign Medical Treatment

摘　　要：目的研究颅内血肿微创清除术在脑内出血治疗中的效果。方法方便选取2015年10月—2017年7月在该院进行救治的60例脑内出血患者为分析对象,采取随机数字的形式将60例患者划定为观察组与对照组均为30例,对照组保守型治疗,观察组采用微创清除术,然后对比神经功能恢复、血肿消除时间和并发症的发生率。结果经治疗后,观察组神经功能恢复总有效率为96.7%,明显高于对照组,两组神经功能实际恢复状况对比,差异有统计学意义(χ~2=9.295,P<0.05);观察组血肿消退的具体时间是(5.1±0.7)d,明显少于对照组血,该两组血肿消退的具体时间对比差异有统计学意义(t=6.527,P<0.05);观察组在术后并发症发生率是23.3%;明显低于对照组(70.0%);该两组并发症发生率对比差异有统计学意义(χ~2=14.016,P<0.05)。结论对于脑内出血情况选择颅内血肿微创清除术来实施救治后,可取得理想效果,使血肿消退的时间、以及病亡率均大幅的减少,有利于其尽快恢复。Objective To research the clinical treatment effect of minimally invasive surgery for intracranial hematoma.Methods 60 cases of patients with intracerebral hemorrhage treated in our hospital from October 2015 to July 2017 were convenient selected and randomly divided into two groups,with 30 cases in each,the control group used the conservative therapy,while the observation group used the minimally invasive surgery for intracranial hematoma,and the nerve function recovery,elimination time of hematoma and incidence rate of complications were compared between the two groups.Results After treatment,the total effective rate in the observation group was 96.7%,which was obviously higher than that in the control group,and the difference in the practice recovery of nerve function between the two groups was statistically significan(χ2=9.295,P<0.05);and the hematomas subsided specific time in the observation group was(5.1±0.7)d,which was obviously lower than that in the control group,and the difference was obvious,with statistical significance,(t=6.527,P<0.05),and the incidence rate of postoperative complications in the observation group was obviously lower than that in the control group,(23.3%vs 70.0%),and the difference was obvious,with statistical significance(χ2=14.016,P<0.05).Conclusion The effect of minimally invasive surgery for intracranial hematoma for patients with intracerebral hemorrhage is ideal,which can greatly reduce the hematomas subsided time and morbidity,and it is conducive to the early recovery.

关 键 词：颅内血肿 微创清除术 高血压 脑出 

分 类 号：R4[医药卫生—临床医学]