颅内微创血肿清除术与传统开颅清除血肿手术在高血压脑出血中的应用效果分析

发布时间：2018-05-14 02:16

本文选题：高血压 + 脑出血　；参考：《河北医学》2016年01期

【摘要】：目的:分析对比微创血肿清除术与传统开颅清除血肿手术治疗高血压脑出血的疗效及安全性。方法:选择2013年1月至2015年1月期间于我院行外科手术治疗的高血压脑出血患者80例,根据手术方案将其分为研究组(行微创血肿清除手术治疗)40例及对照组(行传统开颅清除血肿手术治疗)40例。观察对比两组患者的临床疗效、颅内压力(ICP)、神经功能缺损评分(FAM)及术后并发症情况。结果:研究组治疗的优良率为77.50%,显著高于对照组的57.50%(P0.05);FAM评分显著高于对照组(P0.05);两组ICP对比差异无统计学意义(P0.05);研究组术后并发症发生率为15.00%,显著低于对照组的37.50%(P0.05)。结论:相较于传统开颅血肿清除术,微创血肿清除术治疗高血压脑出血的疗效更佳,可以有效降低颅内压,提高神经功能恢复状态,安全可靠,适于临床推广与应用。
[Abstract]:Objective: to compare the efficacy and safety of minimally invasive hematoma removal and traditional craniotomy for hypertensive intracerebral hemorrhage. Methods: from January 2013 to January 2015, 80 patients with hypertensive intracerebral hemorrhage who underwent surgical treatment in our hospital were selected. According to the operative plan, the patients were divided into study group (40 cases received minimally invasive hematoma removal and control group 40 cases received traditional craniotomy for hematoma removal). To observe and compare the clinical effect, intracranial pressure and ICP, neurological deficit score (FAM) and postoperative complications of the two groups. Results: the excellent and good rate of treatment in the study group was 77.50, which was significantly higher than that in the control group (57.50%), and the score of ICP in the two groups was significantly higher than that in the control group (P 0.05). The incidence of postoperative complications in the study group was 15.00 and was significantly lower than that in the control group (P 0.05). Conclusion: compared with traditional craniotomy, minimally invasive hematoma removal is more effective in the treatment of hypertensive intracerebral hemorrhage. It can effectively reduce intracranial pressure and improve the recovery of neural function. It is safe and reliable and suitable for clinical application.
【作者单位】：海南医学院附属医院神经外科;
【基金】：国家自然科学基金,(编号:81260371) 海南医学院人才启动基金,(编号:2012005)
【分类号】：R651.1

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