摘要
目的探讨超早期立体定向手术治疗高血压脑出血的疗效。方法对66例高血压脑出血分成超早期组(34例)和早期组(32例)施行立体定向脑内血肿排空术,比较两组疗效。结果超早期组术后死亡4例;获随访28例按ADL分级评定Ⅰ级(良好)5例,Ⅱ级(中残)18例,Ⅲ、Ⅳ级(重残)4例,植物生存1例。早期组术后死亡3例;获随访27例按ADL分级评定Ⅰ级(良好)3例,Ⅱ级(中残)12例,Ⅲ、Ⅳ级(重残)11例,植物生存1例。对两组患者良好-中残率及重残率进行比较,差异有统计学意义(u_c=2.015,P<0.05),超早期组疗效优于早期组。结论超早期立体定向手术治疗高血压脑出血能明显提高临床疗效,如条件许可,应尽早实施立体定向手术清除血肿,减轻血肿对脑组织的损害,降低患者的致残率。
Objective To study the outcome of hypertensive intraeranial hemorrhage treated by stereotaetie methods in ultra-early stage. Methods Sixty-six patients with hypertensive intracranial hemorrhage were divided into two groups： ultra-early group （34 eases） and early group （32 cases）. Hemorrhagic masses were evacuated by stereotactie methods. The outcome between two groups was compared. Results In ultra-early group, 4 eases were dead. And 28 eases were followed-up, good in 5 cases, moderate disability in 18 cases, severe disability in 4 cases, and vegetative stage in 1 case. In early group, 3 cases were dead. And 27 cases were followed-up, good in 3 cases, moderate disability in 12 cases, sever disability in 11 cases, and vegetative stage in 1 case. The comparison of goodmoderate disability rate and severe disability rate between two groups showed the treatment effect of the ultra-early group was better than that of early group（ uc = 2. 015 ,P 〈 0. 05 ）. Conclusion Better outcome might be achieve by ultra-early evacuation with stereotacfic method for hypertensive intracranial hemorrhage.
出处
《中国临床新医学》
2010年第9期826-829,共4页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
高血压脑出血
立体定向
超早期
并发症
Hypertensive intracranial hemorrhage
Stereotaxis
Ultra-early stage
Complications
作者简介
刘桂彪（1969-），男，研究生学历，外科学硕士学位，研究方向：脑血管病微侵袭神经外科。E-mail：liugb1969@163．com
通讯作者：黄河清（1959-），男，本科，教授，硕士研究生导师，研究方向：脑血管病微侵袭神经外科。E—mail：lgsjwk@163．com
