資源描述：
《微創(chuàng)治療高血壓腦出血的臨床分析》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、微創(chuàng)治療高血壓腦出血的臨床分析摘要：目的探討比較鉆孔引流術(shù)和小骨窗開顱治療高血壓腦出血的臨床療效。方法選取我院從2006年6月~2013年6月接受微創(chuàng)治療的高血壓腦岀血患者152例，分為鉆孔引流組（88例）以及小骨窗開顱組（64例），比較兩組的手術(shù)時(shí)間，血腫清除率，手術(shù)后拔除引流管的時(shí)間，急性期神經(jīng)功能改善情況，手術(shù)后并發(fā)癥以及手術(shù)后3個(gè)月的日常生活能力（ADL）以及病死率。結(jié)果鉆孔引流組的手術(shù)時(shí)間短于小骨窗開顱組（P0.05）o在急性期神經(jīng)功能改善情況以及兩組患者手術(shù)后3個(gè)月ADL各個(gè)級(jí)別和死亡率的比較差異無統(tǒng)計(jì)學(xué)意義（P>0?05）。結(jié)論鉆孔引流術(shù)和小
2、骨窗血腫清除術(shù)都是治療高血壓腦出血行之有效的微創(chuàng)治療，各有利弊，可以綜合多方面因素進(jìn)行選擇。關(guān)鍵詞：高血壓腦出血；微創(chuàng)治療；臨床療效ClinicalAnalysisonMinimallyInvasiveTreatmentinPatientswithHypertensiveCerebralHemorrhageZHAOZhan,YINLi-ming,ZHUOLi-xia,ZHONGDe-quan,WANGWen-tao,XUWei-guang,ZHANGWei(DepartmentofNeurosurgery,TheFirstAffiliatedHospita
3、l,GuangdongPharmaceuticalUniversity,Guangzhou510080,Guangdong,China)Abstract:ObjectiveTodiscussclinicaleffectsbetweentrepanation&drainageandsmal1bonewindoweraniotomygroupintreatinghypertensivehemorrhagepatients.MethodsWereviewed152casesafterMini-woundtreatmentinhypertensivehemorrh
4、agefromJune2006toJune2011.Thecasesweredividedintominimallyinvasivetrepanationanddrainageandcraniotomygroupwithsmallbonewindoweraniotomygroup.Theoperationtime,hematomaclearaneerate,drainagetubeextractiontime,acuteneurologicalfunctionimprovement,postoperativecomplicationsandactivity
5、ofdailylivingof3monthsaftersurgerywerecompared.ResultsTrepanation&drainagegrouphavelowerratesofoperationtimeandHematomaclearaneeratebuthigherratesofdrainagetubeextractiontimeandIntracranialrehaemorrhagiathanthoseofsmallbonewindowcraniotomygroup(P<0.05)?Nosignificantlydifferenceswe
6、refoundincomplicationsofPneumonia,electrolytedisturbances,gastrointestinalbleeding,intracranialinfection,acutekidneyinjury,urinarytractinfection,acuteneurologicalimprovement,3months'ADLaftersurgeryandmortalityrate.ConclusionBothtrepanation&drainageandsmallbonewindowcraniotomygroup
7、sareeffectiveminimallyinvasivetreatmentintreatinghypertensivehemorrhagepatients?Manyfactorscanbeintegratedtoourchoiceofoperationbycomparingadvantagesanddisadvantagesrespectively.Keywords:Hypertensivehemorrhage；Minimal1yinvasivetreatment；Clinicaleffect高血壓腦出血是指由于高血壓病伴發(fā)的腦內(nèi)小動(dòng)脈病變在血壓驟升時(shí)
8、破裂所致的原發(fā)于腦實(shí)質(zhì)內(nèi)的、非外傷性的出血［1］,病死率以及致殘率
