CT引导下钻孔引流术治疗高血压性脑出血70例临床分析.doc

CT引导下钻孔引流术治疗高血压性脑出血70例临床分析
(作者:___________单位: ___________邮编: ___________)
【摘要】目的:探讨CT引导下钻孔引流手术治疗高血压脑出血的疗效。方法:70例高血压脑出血作为观察组,于住院后6~48h在CT引导下行钻孔引流术,选取同期行保守治疗的70例高血压脑出血患者作为对照组,术后比较两组日常生活能力(ADL)恢复程度。结果:观察组与对照组ADL Ⅰ、Ⅱ、Ⅲ级比较差异有统计学意义(),观察组并发症发生率、致残率、病死率均明显低于对照组()。结论:CT引导下钻孔引流术治疗高血压脑出血具有疗效好、并发症少、简单、安全等优点,易被患者接受,可在基层医院推广。
【关键词】钻孔引流术;CT引导;微创手术;高血压性脑出血
[ABSTRACT] Objective: To investigate the procedure, efficacy and advantage of CTguided microinvasive trepanation in treating hypertensive intracerebral hemorrhage. Methods: A total 70 patients with acute hypertensive intracerebral hemorrhage were enrolled, and were underwent CTguided microinvasive trepanation 6 to 48 hours after admitted in our hospital. Results: The incidence plications, disability rate and morality of microinvasive trepanation were significantly lower than those with the conventional surgery and conservative therapy. Conclusions: CTguided microinvasive trepanation is effective, simple, safe and of plications in treating hypertensive intracerebral hemorrhage. It is worthy extensive clinical application.
[KEY WORDS] Trepanation; CTguided; Microinvasive; Hypertensive intracerebral hemorrhage
高血压脑出血是危急重症,以往常采用内科保守治疗及传统骨瓣、骨窗开颅或锥颅术治疗,病死率、致残率很高。我院2005年12月~2009年1月采用CT引导下钻孔引流术治疗高血压脑出血70例,与传统手术方式(如开颅或锥颅术)相比,具有定位精确、操作简便、损伤小、疗效可靠的优点,值得临床推广。
1 资料与方法
一般资料
选择CT引导下钻孔引流术治疗高血压脑出血70例作为观察组,男性47例,女性23例,年龄38~75