微创软通道穿刺引流术与开颅血肿清除术治疗高血压性脑出血的效果比较  

Minimally invasive soft channel puncture and drainage versus removal of hematoma by craniotomy in the treatment of hypertensive intracerebral hemorrhage

作　　者：杨春红[1] 安岭 张松[1] 刘春荣[1] 陈勇[1] 杨丰忠 YANG Chunhong;AN Ling;ZHANG Song;LIU Chunrong;CHEN Yong;YANG Fengzhong(Department of Cerebral Surgery,Huaiyin Hospital in Huai′an City in Jiangsu province,Huai′an,Jiangsu,223000;Department of Cerebral Surgery,Lianshui County People′s Hospital in Jiangsu Province,Lianshui,Jiangsu,223400)

机构地区：[1]江苏省淮安市淮阴医院脑外科,江苏淮安223000 [2]江苏省涟水县人民医院脑外科,江苏涟水223400

出　　处：《实用临床医药杂志》2020年第17期66-68,72,共4页Journal of Clinical Medicine in Practice

摘　　要：目的比较微创软通道穿刺引流术与开颅血肿清除术治疗高血压性脑出血的效果。方法选择116例高血压性脑出血患者,采用盲选法分为对照组和观察组,每组58例。对照组行开颅血肿清除术,观察组行微创软通道穿刺引流术。比较2组手术相关指标、Barthel指数评分、并发症发生率。结果观察组手术时间、血肿清除时间、脑脊液恢复正常时间均短于对照组,差异有统计学意义(P<0.05)。观察组术后1、3、6个月Barthel指数评分均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为6.90%,低于对照组的20.69%,差异有统计学意义(P<0.05)。结论微创软通道穿刺引流术治疗高血压性脑出血的疗效显著,患者手术时间较短,出血量较少,术后恢复更好,并发症发生率也较低。Objective To compare the effect of minimally invasive soft channel puncture as well as drainage and removal of hematoma by craniotomy in the treatment of hypertensive intracerebral hemorrhage. Methods Totally 116 patients with hypertensive intracerebral hemorrhage were divided into control group and observation group by blind selection method,with 58 cases in each group. The control group was treated with removal of hematoma by craniotomy,and the observation group was treated with minimally invasive soft channel puncture and drainage. The operation related indexes,score of Barthel index and incidence of complications were compared between the two groups. Results The operation time,hematoma clearance time and cerebrospinal fluid recovery time in the observation group were significantly shorter than those in the control group( P < 0. 05). The scores of Barthel index in the observation group at 1 month,3 and 6 months after operation were significantly lower than those in the control group( P < 0. 05). The incidence of complications in the observation group was 6. 90%,which was significantly lower than 20. 69% in the control group( P < 0. 05). Conclusion Minimally invasive soft channel puncture and drainage is effective in the treatment of hypertensive intracerebral hemorrhage,which can shorten operation time,reduce blood loss,accelerate postoperative recovery and reduce incidence of complications.

关 键 词：微创软通道穿刺引流术 开颅血肿清除术 高血压性脑出血 BARTHEL指数 并发症 

分 类 号：R743[医药卫生—神经病学与精神病学]