摘要
目的 探讨CT指导下颅内微创血肿清除术对基底节区脑出血患者疗效及预后的影响。方法 对我院病案首页数据库中所有在CT指导下行颅内微创血肿清除术治疗的基底节出血病例以及同期符合颅内微创血肿清除术手术指征而行内科保守治疗的基底节出血患者的一般情况、预后、临床神经功能缺损和继发脑水肿改变进行回顾性分析。采用 χ2 检验、t检验及方差分析进行统计学分析。结果 82例颅内微创血肿清除术治疗病人中 ,死亡12例 ,病死率为 14 .6 %。内科保守治疗的 6 1例患者中 ,死亡 18例 ,病死率为 2 9.5 %。χ2 检验表明两组病人在病死率上有显著性差异 (P <0 .0 5 )。同时 ,重复设计资料方差分析结果表明采用颅内微创血肿清除术治疗的基底节区脑出血患者继发脑水肿体积明显小于内科保守治疗组患者 (P <0 .0 1) ,临床神经功能缺损程度同样低于内科保守治疗组患者 (P <0 .0 1)。结论 CT指导下颅内微创血肿清除术可以明显减轻患者继发脑水肿和改善患者临床神经功能的缺损程度 ,提高患者的生存率。
Objective To explored the influence of computed tomographic-guided microinvasive evacuation of hematoma on the curative effect and prognosis in patients with ganglionic intracerebral hemorrhage.Methods The medical records and CT scans of 82 inpatients with ganglionic intracerebral hemorrhage treated by microinvasive evacuation of hematoma and 61 inpatients with conservative treatment were retrospectively reviewed.The basic condition and curative effect for all patients in 30 days after hemorrhage were evaluated.χ 2 test,t test and repeated measurement data univariate analyses were adopted to analyses the results.Results The 30 day mortality for the 82 cases of ganglionic intracerebral hemorrhage treated by microinvasive evacuation of hematoma was14.6%.χ 2 test analysis found that microinvasive evacuation of hematoma excel conservative treatment in the survival rate(P<0.05).Meanwhile,the result of repeated measurement data univariate analyses also showed that microinvasive evacuation of hematoma could decrease the brain edema volume and the defection of clinic neurological function followed cerebral hemorrhage(P<0.01).Conclusion Computed tomographic-guided microinvasive evacuation of hematoma treatment excel conservative treatment in the curative effect.It is related with that microinvasive evacuation of hematoma treatment improve the brain edema and the defection of clinic neurological function followed cerebral hemorrhage.
出处
《江西医学院学报》
2004年第4期22-25,共4页
Acta Academiae Medicinae Jiangxi
关键词
颅内微创血肿清除术
脑出血
脑水肿
microinvasive evacuation of hematoma
intracerebral hemorrhage
brain edema
