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微创血肿清除术与开颅血肿清除术治疗基底节区脑出血的临床分析

沈玉彬 袁长红 朱德才

医学信息Issue(17):46-46,47,2.
医学信息Issue(17):46-46,47,2.

微创血肿清除术与开颅血肿清除术治疗基底节区脑出血的临床分析

Analysis of Curative Effect of the Patients with Basal Ganglion Hemorrhage Treated with Minimally Invasive Evacuation Hematom and Hematoma Evacuation

沈玉彬 1袁长红 1朱德才1

作者信息

  • 1. 安徽省亳州市人民医院,安徽 亳州 236800
  • 折叠

摘要

Abstract

Objective To compare the long-term curative ef ects and safeties between minimal y invasive surgery and craniotomy in the treatment of neurosurgical procedures hemorrhage. Methods From May2007 to Oct 2011,157 patients with neurosurgical procedures hemorrhage were divided randomly into minimal y invasive surgery group (n=82)and normal craniotomy group(n=75). The preparing time, operating time and complications between two groups were compared. Glasgow outcome scale three month later after treatment and fatality rate were analyzed. Results The preparing time (P=0.001) and operating time (P<0.001) in craniotomy group were much longer than in minimal y invasive surgery group.The occurrence rates of rehaemorrhagia and intracranial infection in two groups were similar. Glasgow outcome scale done 3 mouths later after the operation in minimal y invasive surgery group displayed bet er than in craniotomy group (P=0.001). The mortality in minimal y invasive surgery group 3 mouths later after the operation was 1.2%, while in craniotomy group was 6.7%. Conclusion With less trauma, more definite curative ef ect, lower occurrence rates of complications, minimal y invasive surgery is superior to normal craniotomy in the treatment of neurosurgical procedures hemorrhage. And long-term prognosis in minimal y invasive surgery is obviously bet er.

关键词

基底节区脑出血/开颅术/颅内血肿微创手术

Key words

Hypertensive ganglionic Hemorrhage/Craniotomy/Minimal y invasive surgery of intracranial hematoma

引用本文复制引用

沈玉彬,袁长红,朱德才..微创血肿清除术与开颅血肿清除术治疗基底节区脑出血的临床分析[J].医学信息,2013,(17):46-46,47,2.

医学信息

1006-1959

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