【摘要】 目的 比较观察脑出血早期微创血肿清除术与内科保守治疗的效果。方法 将符合条件的103例高血压脑出血患者随机分两组，微创组53例，保守组50例，进行对照分析。结果 微创组死亡率、近期疗效、远期疗效均优于保守组，差异有非常显著性(P<0.01)。结论 30～80ml范围的脑出血采用早期微创血肿清除术治疗的效果优于保守治疗。

    【关键词】 脑出血；高血压；微创血肿清除术；疗效

    Study on the efficacy of mini-invasive evacuation of hematoma for hypertensive cerebral hemorrhage

    HUANG Wen-zhu.

    Department of Neurology,Jiazi Peoples Hospital,Lufeng 536538,China

    【Abstract】 Objective To compare the efficacy of mini-invasive evacuation of hemotona and conservative treatment early in cerebral hemorrhage.Methods 103 cases of confirmed hypertensive cerebral hemorrhage were allocated to one of two groups at random,mini-invasion group(n=53),conservative therapy group(n=50).A comparative analysis was performed.Results Mini-invasive evacuation was superior to conservative therapy with regards to mortality rate,primary efficacy and long-term efficacy (P<0.01).Conclusion The efficacy of mini-invasive evacuation of hemotoma is more exellent than conservative therapy early in cerebral hemorrhage with volume ranging from 30ml to 80ml. ...... 濡傛灉鎮ㄥ湪浣跨敤鎵嬫満绛夋祦瑙堟椂鏃犳硶鏌ョ湅鎴栦笅杞藉叏鏂囷紝鍙兘鏄鎼滅储寮曟搸澶辩湡鈥滆浆鐮佲€濓紝璇风偣鍑诲睆骞曟渶涓嬫柟鐨勨€滅數鑴戠増鈥濇垨鈥滃師缃戦〉鈥濊闂€�


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