软-硬通道结合微创血肿穿刺引流术与硬通道微创血肿穿刺引流术治疗高血压脑出血的效果比较  

Comparison on the Effects of Soft-Hard Combined Channel Minimally Invasive Hematoma Puncture and Drainage vs.Hard Channel Minimally Invasive Hematoma Puncture and Drainage in the Treatment of Hypertensive Intracerebral Hemorrhage

作　　者：李维 袁波[1] LI Wei;YUAN Bo(Department of Neurosurgery,Luohe Central Hospital,Luohe 462000,China)

机构地区：[1]漯河市中心医院神经外科,河南漯河462000

出　　处：《临床医学工程》2024年第12期1447-1448,共2页Clinical Medicine & Engineering

摘　　要：目的对比不同通道微创血肿穿刺引流术治疗高血压脑出血(HICH)的临床效果。方法96例HICH患者根据治疗方案的不同分为两组。对照组实施硬通道微创血肿穿刺引流术治疗,观察组实施软-硬通道结合微创血肿穿刺引流术治疗。比较两组的血肿残留量、临床疗效、并发症。结果观察组术后1、3、5、7 d的血肿残留量均明显少于对照组,术后3周的治疗总有效率明显高于对照组,术后并发症总发生率明显低于对照组(P<0.05)。结论与硬通道微创血肿穿刺引流术相比,软-硬通道结合微创血肿穿刺引流术可明显减少HICH患者的术后血肿残留量,临床疗效更为显著,且安全性更高。Objective To compare the clinical effects of different channels of minimally invasive hematoma puncture and drainage in the treatment of hypertensive intracerebral hemorrhage(HICH).Methods 96 patients with HICH were divided into two groups according to different treatment regimens.The control group was treated with hard channel minimally invasive hematoma puncture and drainage,and the observation group was treated with soft-hard combined channel minimally invasive hematoma puncture.The residual hematoma volume,clinical efficacy and complications were compared between the two groups.Results The residual hematoma volume at 1,3,5 and 7 days after surgery in the observation group were significantly less than those in the control group,the total effective rate of treatment at 3 weeks after surgery was significantly higher than that in the control group,and the total incidence of postoperative complications was significantly lower than that in the control group(P<0.05).Conclusions Compared with hard channel minimally invasive hematoma puncture and drainage,soft-hard combined channel minimally invasive hematoma puncture and drainage can obviously reduce the postoperative hematoma residual volume of HICH patients,with more significant clinical efficacy and higher safety.

关 键 词：高血压脑出血 软-硬通道 微创血肿穿刺引流术 疗效 

分 类 号：R743.34[医药卫生—神经病学与精神病学]