软通道微创穿刺血肿清除术治疗脑出血的临床观察  

Clinical observation of soft channel minimally invasive evacuation of hematoma for intracerebral hemorrhage

作　　者：孙卫东[1] 杨琨[1] 周盾[1] Sun Weidong;Yang Kun;Zhou Dun(Central Hospital of Loudi City,417000)

机构地区：[1]娄底市中心医院,417000

出　　处：《中国社区医师》2018年第21期45-46,共2页Chinese Community Doctors

摘　　要：目的:探讨软通道微创穿刺血肿清除术治疗脑出血的效果。方法:收治脑出血患者88例,将其平均分为观察组与对照组,分别进行软通道微创穿刺血肿清除术与小骨窗开颅血肿清除术。结果:观察组手术结束后1 d、3 d的血肿量均低于对照组(P<0.05);观察组NIHSS评分、ADL评分改善程度大于对照组(P<0.05);观察组治疗总有效率明显高于对照组(P<0.05)。结论:软通道微创穿刺血肿清除术治疗脑出血,不仅能有效清除血肿组织,还能显著改善患者的神经功能缺损情况,提高其日常生活活动能力。Objective:To explore the effect of minimally invasive hematoma removal through soft channel in the treatment of cerebral hemorrhage.Methods:88 cases of cerebral hemorrhage were selected.They were divided into the observation group and the control group,and the minimally invasive puncture hematoma clearance and the small bone window craniotomy hematoma were performed respectively.Results:The hematoma volume of 1d and 3d in the observation group was lower than that of the control group after the operation(P<0.05);the improvement of NIHSS score and ADL score in the observation group was greater than that of the control group(P<0.05);the total effective rate of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:The treatment of cerebral hemorrhage by soft channel microinvasive puncture hematoma removal can not only effectively remove hematoma,but also improve the nerve function defect and improve the daily living ability of the patients.

关 键 词：软通道 微创 穿刺 血肿清除术 脑出血 

分 类 号：R651.1[医药卫生—外科学]