立体定向软通道微创血肿穿刺外引流术治疗高血压脑出血的临床研究-论文.pdf

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1、临京医学工程2014年7月第21卷第7期·867··论著·(临床研究)立体定向软通道微刨血肿穿刺外引流术治疗高血压脑出血的临床研究傅建华，王茂武(广州医科大学附属第五医院神经外科，广东广州510700)【摘要】目的探讨立体定向软通道微创血肿穿刺外引流术治疗高血压脑出血的临床疗效。方法56例高血压脑出血患者被随机分为对照组(开颅血肿清除术)和观察组(微创血肿穿刺外引流术)各28例，根据神经功能缺损程度评分标准，对两组神经功能缺损程度评分、临床疗效、并发症、生存率，进行观察和比较。结果与对照组相比，观察组术后3个月和术后9个月神经功能缺损评分明显降低，治

2、疗总有效率、生存率均显著升高，并发症发生率显著降低，P

3、DrainageSurgeryforHy-pertensiveIntracerebralHemorrhagef?FUJianhua,WANGMaowu(DepartmentofNeurosurgery,theAffiliatedHospitalofGuangzhouMedicalUniversity,Guangzhou510700,China)[Abstract】ObjectiveTostudytheclinicaleficacyofthetreatmentofsoftchannelminimallyinvasivestereotacticpunct

4、ureanddrainagesurgeryforhypertensiveintracerebralhemorrhage．Methods56patientswithhypertensiveintracerebralhemorhagewererandomizedintothecontrolgroup(craniotomy)andtheobservationgroup(minimallyinvasivestereotacticpunctureanddrainagesurgery)，28patientspergroup．Theneurologicalfunc

5、tiondeficitscores，clinicaleficacy，complicationsandsurvivalratesinthetwogroupswereobservedandcomparedaccordingtotherelatedstandards．Resultscomparedwiththecontrolgroup，theneurologicalfunctiondeficitscoresweresignificantlydecreasedafter3monthsand9monthsaftersurgery，thetotalefectiv

6、erateandsurvivalratewereobviouslyincreased，theincidenceofcomplicationswassignificantlyreducedintheobservationgroup<0．05)．ConclusionsForpatientswithhypertensiveintracerebralhemorhage，thetreatmentofsoftchannelminimallyinvasivestereotacticpunctureanddrainagesurgerycansignificantly

7、increasetheclinicaleficacy，reducetheincidenceofpostoperativecomplications，andimprovethepatients’prognosisquality．【Keywords】Minimallyinvasivestereotacticpunctureanddrainagesurgery；Hypertensiveintracerebralhemorrhage；Neurologicalfunctiondeficitscore；E~cacy高血压脑出血具有出血量大、进展快、致死率高等临床

8、特年龄(54．0±6．0)岁，基底节出血19例、丘脑出血6例、脑征．如果治疗不及时，或者处理不当，可能危及生