摘要
目的探讨微创穿刺血肿次全清除术与内科保守治疗在基底节区脑出血治疗中的疗效。方法将2012年10月—2014年12月的62例高血压基底节脑出血患者分成两组,分别行微创穿刺血肿次全清除术和内科保守治疗。观察3个月,比较其治疗过程中血肿吸收情况、神经功能缺损、日常生活能力情况。结果治疗第7天时,2组平均血肿大小和血肿吸收率均有显著性差异(P<0.01),治疗组血肿体积明显小于对照组;两组患者治疗2周、3个月后神经功能缺损程度和日常生活能力比较有明显差异(P<0.01),治疗组均显著优于对照组。结论微创穿刺血肿次全清除术治疗基底节脑出血,手术创伤小,清除血肿率高,改善生活自理能力,神经功能缺损恢复快,是一种值得推广的手术方法。
Objective To compare the clinical efficacy of conservative treatment and minimally invasive evacuation on patients with basal ganglia hemorrhage. Methods Sixty - two cases from Oct. 2012 to Dec. 2014 treated in our hospital were divided into two groups. Patients in treatment group were treated with Minimally Invasive Puncture and others in control group with conservative approches. Hematoma absorption, neurological deficit and activities of daily living were observed during the tree -month treatment. Results There were significant differences between the groups in the average size of hematoma and hematoma absorption rate （P 〈 0. 01 ） after seven - day treatment. The volume of hematoma in treatment group was significantly less than that in the control group. Moreover, the extent of neurological deficit and activities of daily living in the treatment group were also better than the control group （ P 〈 0. 01 ） after three - month treatment of daily living were significantly different （P 〈 0.01 ） ,Treatment group were significantly better than the control group. Conclusion Minimally Invasive Puncture can quickly remove the hematoma, reduce the rate of disability and improve the conditions of daily living. It is a worthy surgical methods in the treatment of hypertensive cerebral hemorrhage of basal ganglia.
出处
《医药论坛杂志》
2015年第6期47-49,共3页
Journal of Medical Forum
