比较微创穿刺抽吸术及开颅手术治疗高血压性脑出血的疗效  

Comparison of minimally invasive puncture and craniotomy for hypertensive intracerebral hemorrhage

作　　者：鲁春鹤[1] 宋宏伟 崔岩[1] 孙宇[1] 邹淑芳[1] 许金剑 Lu Chunhe;Song Hongwei;Cui Yan;Sun Yu;Zou Shufang;Xu Jinjian(Department of Neurosurgery, Daqing Oilfield General Hospital, Daqing 163001, China)

机构地区：[1]大庆油田总医院神经外科

出　　处：《辽宁医学杂志》2019年第3期48-50,共3页Medical Journal of Liaoning

摘　　要：目的比较微创穿刺抽吸术及开颅手术治疗高血压性脑出血的疗效即各自应用价值。方法选取2017年4月-2018年5月医院收治的脑出血患者74例。采取随机数字表法均分为两组。其中观察组37例患者采用微创穿刺抽吸手术。对照组37例患者采用开颅手术。比较两组74例患者治疗结局。结果观察组37例患者Fugl-Meyer运动功能评分以及日常生活能力显著优于对照组,对比差异有统计学意义(P<0.05)。观察组37例患者语言功能显著优于对照组(P<0.05)结论采用微创穿刺抽吸手术可有效治疗高血压性脑出血,对改善患者术后恢复质量有重要的临床意义,具有推广和利用价值。Objective To compare the therapeutic effects of minimally invasive aspiration and craniotomy for hypertensive intracerebral hemorrhage,namely,their respective application values.Methods 74 patients with cerebral hemorrhage admitted to our hospital from April 2017 to May 2018 were selected.The random number table method was adopted and the patients weredivided into two groups.In the observation group,37 patients were treated with minimally invasive aspiration.In the control group,37 patients underwent craniotomy.The treatment outcomes of 74 patients in the two groups were compared.Results The fugl-Meyer motor function score and daily living ability of 37 patients in the observation group were significantly better than those in the control group,and the difference was statistically significant(P<0.05).The language function of 37 patients in the observation group was significantly better than that in the control group(P<0.05).Conclusion Minimally:invasive aspiration surgery can be used to treated patients in HICH effectively,which has important clinical significance in improving the postoperative recovery quality of patients and has popularization and utilization value.

关 键 词：运动功能评分 脑出血 微创穿刺抽吸手术 开颅手术 

分 类 号：R651.12[医药卫生—外科学]