临床误诊误治2013，Vol.26Issue(3)：95-98,4.DOI:10.3969/j.issn.1002-3429.2013.03.039
软、硬通道微创穿刺引流术治疗高血压脑出血的效果比较
Effect and Comparison of Drainage with Minimally Invasive Soft and Hard Puncture Needle in Treatment of Hypertensive Cerebral Hemorrhage
摘要
Abstract
Objective To explore effect and indications of drainage minimally invasive soft and hard puncture needle in treatment of hypertensive cerebral hemorrhage. Methods A total of 216 patients with minimally invasive puncture and drainage in treatment of hypertensive cerebral hemorrhage were divided into 112 patients with soft channel treatment (group A) and 104 patients with hard passage ( group B) , and the efficacy, complications and draining time of two groups were observed and com- pared. Results The total mortality rate of two groups was 15. 3% . The mortality rate of group A was 13.4% , and the mortality rate of group B was 17. 3% . There was no significant difference between the two groups ( P > 0. 05 ). The average operative time of group A was 7. 6 min and group B was 3. 8 min. There was a significant difference between two groups ( P < 0.05). The average draining times of intracerebral hematoma were 4. 6 d of group A and 4.9 d of group B respectively, and there was no significant difference between the two groups (P >0.05). The average intraventricular hematomas were 4.8 d of group A and 5.9 d of group B, and there was a significant difference between two groups (P < 0.05). The differences in incidence rates of pneumonia and stress ulcer of the two groups were not statistically significant(P >0.05) , and the differences in incidence rates of residual of intracranial bone pieces, intracranial infection and the bleeding of puncture needle tract were significantly different (P < 0. 05). Conclusion The method of minimally invasive puncture needle of soft and hard channel is helpful in treatment of hypertensive cerebral hemorrhage. Clinicians should pay more attention to different indications to achieve ideal curative effect.关键词
颅内出血,高血压性/穿刺抽液术/外科手术,微创性Key words
Intracranial hemorrhage, hypertensive/ Paracentesis/ Surgical procedure, minimally invasive分类
医药卫生引用本文复制引用
李玉辉,王美清,李东升,赵开..软、硬通道微创穿刺引流术治疗高血压脑出血的效果比较[J].临床误诊误治,2013,26(3):95-98,4.
