超早期颅内血肿微创穿刺清除术治疗脑内小血肿80例临床分析(1)
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[摘要] 目的:探讨超早期颅内微创穿刺清除术治疗颅内小血肿的临床优势。方法:对80例脑内小血肿行超早期颅内微创穿刺清除术,与同期保守治疗的80例患者进行对比研究,观察神经功能改善状况,同时对比两组3个月后日常生活改善状况。结果:微创手术术后第14天临床神经功能缺损评分即有显著改善(P<0.05),缩短了病程,提高了患者的生活质量(P<0.05)。结论:微创穿刺清除术治疗是治疗脑内小血肿伴有明显偏瘫或病情进展者的有效方法。
[关键词] 脑内小血肿;超早期微创术;临床分析
[中图分类号] R651.1[文献标识码]A [文章编号]1673-7210(2010)05(b)-042-02
Ultra -early minimally invasive removal of intracranial hematoma on the treatment of intracerebral hematoma in 80 cases
WANG Wenna, BAI Shigong, YANG Faming
(The Third Chinese Medicine Hospital of Shanxi Traditional Chinese Medicine College, Taiyuan 030006, China)
[Abstract] Objective: To investigate the clinical advantages of the ultra-early removal of intracranial hematoma minimally invasive removal of intracranial hematoma on the treatment of small intracranial hematoma. Methods: 80 cases of intracerebral hematoma-line ultra-small puncture early minimally invasive removal of intracranial surgery, and conservative treatment of 80 patients over the same period a comparative study to observe the nerve function to improve the situation, while comparing the two groups after 3 months to improve the situation after the daily life. Results: After the minimally invasive surgery, postoperative neurological deficit scores 14 d, significantly improved (P<0.05), shortened the course of the disease, improved the patients' quality of life (P<0.05). Conclusion: Minimally invasive surgery is an effective way to treat small intracerebral hematoma on the treatment of hemiplegia or illness accompanied by significant progress.
[Key words] Brain small hematoma; Ultra-early minimally invasive surgery; Clinical analysis
脑内小血肿(SICH)一般指幕上出血≤30 ml,幕下出血≤10 ml的脑实质内的血肿,一般不影响患者生命。目前国内外对于脑内小血肿的病例多采用内科保守治疗,以挽救生命为主,但忽视了对肢体、语言等神经功能的挽救,故致残率较高。为探求更好的治疗SICH的方法,笔者选取2006年8月～2009年8月我院行超早期颅内微创穿刺清除术的80例脑内小血肿患者与同期保守治疗的80例患者进行了对比研究,现报道如下:
1 资料与方法
1.1 一般资料
2006年8月～2009年8月收治发病时间在6 h内的出血量在10~30 ml之间的160例幕上脑出血的患者,依据入院先后顺序采用随机对照的原则分为微创手术组(微创组)与非手术治疗组(对照组),各80例,如患者及家属拒绝改变治疗方案的,则该患者不纳入此研究。微创组80例,其中,男48例,女32例;年龄30～88岁,平均59岁;GCS评分5～8分16例,9～11分40例,12～14分24例;高血压脑出血39例,创伤32例,其他9例;平均出血量约22.36 ml。对照组80例,其中,男52例,女28例;年龄20～82岁,平均51岁;GCS评分5～8分19例,9～11分35例,12～14分26例;高血压脑出血36例,创伤28例,其他16例;平均出血量约21 ......
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