摘要
目的研究高血压脑出血(HICH)外科手术治疗的临床治疗方案。方法将2009年4月至2011年10月到我院心脑血管外科就诊的100例高血压脑出血患者随机分为采用立体定向术式组及小骨窗开颅术式组,每组各50例,随访3个月后观察患者的术后血肿清除率、患者病死率及进行日常生活的能力。结果术后3个月立体定向组治疗高血压脑出血的血肿清除率明显高于小骨窗开颅组,两组相比差异有统计学意义(P<0.05),两组患者病死率差异无统计学意义(P>0.05);术后3个月立体定向方式进行治疗的患者日常生活能力明显好于小骨窗开颅组(P<0.05)。结论立体定向方式临床治疗高血压脑出血疗效肯定,值得临床推广。
Objective To study the clinical treatment of the surgical treatment of hypertensive intracerebral hemorrhage （HICH） program. Methods From April 2009 to October 2011 to the school of cardiovascular and cerebrovascular surgical treatment of 100 cases of hypertensive intracerebral hemorrhage were random -ly divided into a stereotactic surgical group and a small bone window craniotomy group, （n =50） observed in patients with postoperative hematoma cases were followed up 3 months after the clearance rate, the mortality and the ability of daily life. Results Stereotactic group 3 months after surgery for hypertensive cerebral hemor- rhage, hematoma rate was significantly higher than the small bone window craniotomy group, two groups the difference was statistically significant （ P 〈 0. 05 ）, two sets of mortality of patients with was no significant differ- ence （P 〉 0. 05）. 3 months after stereotactic method for the treatment of patients with activities of daily living was significantly better than the small bone window craniotomy group （P 〈 0, 05 ）. Conclusion Stereotactic clinical treatment of hypertensive intracerebral hemorrhage is certainly worthy of promotion.
出处
《中国现代药物应用》
2012年第10期2-3,共2页
Chinese Journal of Modern Drug Application
关键词
高血压脑出血
立体定向术
小骨窗开颅术
临床分析
Hypertension
Cerebral hemorrhage
Stereotactic surgery
Small bone window craniotomy
Clinical analysis
