摘要
目的探讨微创手术治疗中少量高血压脑出血的疗效。方法回顾性分析236例出血量在20-30 mL并伴有神经功能障碍的高血压脑出血患者,根据治疗方式的不同分为微创手术组和非手术组,微创手术组106例采用立体定向微创钻孔引流术,对照组130例采用非手术治疗,治疗后2周采用改良爱丁堡由斯堪的那维亚卒中量表法（SSS）和治疗后6个月日常生活能力量表法（ADL）[1],统计分析两组间患者近期疗效和远期预后的差异。结果微创手术组治愈率、好转率明显高于对照组,病残率明显低于对照组,再出血率及病死率与对照组比较差异无统计学意义（P〈0.05）。结论立体定向微创手术治疗能显著改善中少量（20-30 mL）高血压脑出血患者的预后。
Objective To evaluate the efficacy of minimal invasive therapy in hypertensive cerebral hemorrhage with bleeding volume of 20-30 mL.Methods 236 hypertensive cerebral hemorrhagic cases with small to medial hemorrhagic volume were enrolled in this retrospective study.According to treatment,all cases were divided into surgical group and control group.Stereotactic minimal invasive operations were performed in 106 cases of surgical group,and non-operative treatment was performed in 130 case of control group.Short-term observation indexes,including Scandinavian Stroke Scale（SSS）,consciousness and neurological effect,and long-term prognosis indexes,including postoperative activity of daily living（ADL）[1] of six months later,were measured to be compared between two groups.Results The recovery rate and improvement rate in surgical group were significantly higher than those in control group.The disability was decreased significantly after minimal invasive surgical treatment.The rate of re-hemorrhage and mortality had no differences between two groups.Conclusion Stereotactic minimal invasive surgical treatment has a significant therapeutic effect on hypertensive cerebral hemorrhage of 20-30 mL hematoma cases.
出处
《重庆医学》
CAS
CSCD
北大核心
2011年第14期1419-1421,共3页
Chongqing medicine
关键词
颅内出血
高血压
出血量
非手术治疗
微创手术
intracranial hemorrhage
hypertensive
hemorrhagic volume
non-operative treatment
minimal invasive therapy
