摘要
目的探讨常规开颅与显微镜下微创手术治疗高血压脑出血的疗效情况。方法随机选取我科2012年12月～2014年12月采用常规开颅手术治疗的高血压脑出血患者作为对照组,采用显微镜下微创手术治疗的患者作为观察组,每组30例,治疗后统计两组患者的血肿清除率、死亡率、临床疗效及日常生活能力评分(ADL)进行对比研究。结果两组患者血肿清除率差异无统计学意义(P> 0.05),观察组死亡率明显低于对照组(P <0.05);观察组总有效率为93.33%,明显高于对照组的70.00%;观察组日常生活能力总体恢复良好的比例为93.33%,明显高于对照组的66.67%,差异有统计学意义(P <0.05)。结论显微镜下微创手术治疗高血压脑出血相比于常规开颅手术更具有疗效,值得临床推广。
Objective To study and explore the curative effect of routine craniotomy and minimally invasive surgery under microscope in treatment of hypertensive cerebral hemorrhage. Methods Thirty patients with hypertensive cerebral hemorrhage who were treated with routine craniotomy in our hospital from December 2012 to December 2014 were randomly selected as the control group.30 patients who were treated with minimally invasive surgery under microscope were selected as the observation group.The clearance rate of hematoma,mortality,clinical curative effect and activity of daily living(ADL)score were compared and studied between the two groups. Results There was no statistically significant difference in the clearance rate of hematoma between the two groups(P > 0.05).The mortality rate of the observation group was significantly lower than the control group(P < 0.05).The total effective rate of the observation group was 93.33%,which was significantly higher than the control group(70.00%).The overall recovery rate of daily living ability in the observation group was 93.33%,which was significantly higher than that in the control group(66.67%).The difference was statistically significant(P < 0.05). Conclusion Minimally invasive surgery under microscope in treatment of hypertensive cerebral hemorrhages more effective than routine craniotomy,which is worthy of clinical promotion.
作者
冯良应
钟元冠
林宗保
FENG Liangying;ZHONG Yuanguan;LIN Zongbao(Department of Neurosurgery,Yangdong District People's Hospital,YangJiang 529500,China)
出处
《中国医药科学》
2019年第8期213-215,219,共4页
China Medicine And Pharmacy
关键词
高血压脑出血
显微镜
微创手术
常规开颅
Hypertensive cerebral hemorrhage
Microscope
Minimally invasive surgery
Routine craniotomy
