资源描述：
《微创治疗高血压脑出血的临床分析》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、微创治疗高血压脑出血的临床分析摘要：目的探讨比较钻孔引流术和小骨窗开颅治疗高血压脑出血的临床疗效。方法选取我院从2006年6月~2013年6月接受微创治疗的高血压脑岀血患者152例，分为钻孔引流组（88例）以及小骨窗开颅组（64例），比较两组的手术时间，血肿清除率，手术后拔除引流管的时间，急性期神经功能改善情况，手术后并发症以及手术后3个月的日常生活能力（ADL）以及病死率。结果钻孔引流组的手术时间短于小骨窗开颅组（P0.05）o在急性期神经功能改善情况以及两组患者手术后3个月ADL各个级别和死亡率的比较差异无统计学意义（P>0・05）。结论钻孔引流术和小
2、骨窗血肿清除术都是治疗高血压脑出血行之有效的微创治疗，各有利弊，可以综合多方面因素进行选择。关键词：高血压脑出血；微创治疗；临床疗效ClinicalAnalysisonMinimallyInvasiveTreatmentinPatientswithHypertensiveCerebralHemorrhageZHAOZhan,YINLi-ming,ZHUOLi-xia,ZHONGDe-quan,WANGWen-tao,XUWei-guang,ZHANGWei(DepartmentofNeurosurgery,TheFirstAffiliatedHospita
3、l,GuangdongPharmaceuticalUniversity,Guangzhou510080,Guangdong,China)Abstract:ObjectiveTodiscussclinicaleffectsbetweentrepanation&drainageandsmal1bonewindoweraniotomygroupintreatinghypertensivehemorrhagepatients.MethodsWereviewed152casesafterMini-woundtreatmentinhypertensivehemorrh
4、agefromJune2006toJune2011.Thecasesweredividedintominimallyinvasivetrepanationanddrainageandcraniotomygroupwithsmallbonewindoweraniotomygroup.Theoperationtime,hematomaclearaneerate,drainagetubeextractiontime,acuteneurologicalfunctionimprovement,postoperativecomplicationsandactivity
5、ofdailylivingof3monthsaftersurgerywerecompared.ResultsTrepanation&drainagegrouphavelowerratesofoperationtimeandHematomaclearaneeratebuthigherratesofdrainagetubeextractiontimeandIntracranialrehaemorrhagiathanthoseofsmallbonewindowcraniotomygroup(P<0.05)・Nosignificantlydifferenceswe
6、refoundincomplicationsofPneumonia,electrolytedisturbances,gastrointestinalbleeding,intracranialinfection,acutekidneyinjury,urinarytractinfection,acuteneurologicalimprovement,3months'ADLaftersurgeryandmortalityrate.ConclusionBothtrepanation&drainageandsmallbonewindowcraniotomygroup
7、sareeffectiveminimallyinvasivetreatmentintreatinghypertensivehemorrhagepatients・Manyfactorscanbeintegratedtoourchoiceofoperationbycomparingadvantagesanddisadvantagesrespectively.Keywords:Hypertensivehemorrhage；Minimal1yinvasivetreatment；Clinicaleffect高血压脑出血是指由于高血压病伴发的脑内小动脉病变在血压骤升时
8、破裂所致的原发于脑实质内的、非外伤性的出血［1］,病死率以及致残率
