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中少量高血压脑出血微创手术治疗的疗效分析

陈勇 覃川 杨秀江 张正保 胡建刚 晏怡

重庆医学2011,Vol.40Issue(14):1419-1421,3.
重庆医学2011,Vol.40Issue(14):1419-1421,3.DOI:10.3969/j.issn.1671-8348.2011.14.029

中少量高血压脑出血微创手术治疗的疗效分析

Efficacy alaysis of minimally invasive surgery in hypertensive cerebral hemorrhage with small to medial volume

陈勇 1覃川 1杨秀江 1张正保 1胡建刚 1晏怡2

作者信息

  • 1. 重庆市大足县人民医院神经外科,402360
  • 2. 重庆医科大学附属第一医院神经外科,400016
  • 折叠

摘要

Abstract

Objective To evaluate the efficacy of minimal invasive therapy in hypertensive cerebral hemorrhage with bleeding volume of 20 - 30 mL. Methods 236 hypertensive cerebral hemorrhagic cases with small to medial hemorrhagic volume were enrolled in this retrospective study. According to treatment,all cases were divided into surgical group and control group. Stereotactic minimal invasive operations were performed in 106 cases of surgical group,and non operative treatment was performed in 130 case of control group. Short-term observation indexes, including Scandinavian Stroke Scale(SSS), consciousness and neurological effect,and long-term prognosis indexes,including postoperative activity of daily living(ADL)[1] of six months later, were measured to be compared between two groups. Results The recovery rate and improvement rate in surgical group were significantly higher than those in control group. The disability was decreased significantly after minimal invasive surgical treatment. The rate of re-hemorrhage and mortality had no differences between two groups. Conclusion Stereotactic minimal invasive surgical treatment has a significant therapeutic effect on ypertensive cerebral hemorrhage of 20-30 mL hematoma cases.

关键词

颅内出血,高血压/出血量/非手术治疗/微创手术

Key words

intracranial hemorrhage, hypertensive/ hemorrhagic volume/ non operative treatment / minimal invasive therapy

引用本文复制引用

陈勇,覃川,杨秀江,张正保,胡建刚,晏怡..中少量高血压脑出血微创手术治疗的疗效分析[J].重庆医学,2011,40(14):1419-1421,3.

重庆医学

OA北大核心CSCDCSTPCD

1671-8348

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