中国实用神经疾病杂志2016，Vol.19Issue(18)：8-10,3.
颅脑钻孔引流术与开颅治疗高血压脑出血对神经功能及预后的影响
Observation of neurological function and prognosis of craniocerebral trepanation and drainage versus cranioto-my in the treatment of hypertensive cerebral hemorrhage
杜福宏 1宋良鹏 1郑德伟 1盛毅 1李洪朋 1孙西周1
作者信息
- 1. 山东日照市中医医院神经外科 日照 276800
- 折叠
摘要
Abstract
Objective To observe neurological function and prognosis of craniocerebral trepanation and drainage versus craniotomy in the treatment of hypertensive cerebral hemorrhage(HCH).Methods Eighty-six patients with HCH in our hos-pital from June 2010 to June 201 1 were selected in our study,who were divided into group A and group B(43 cases in each group)according to draw method.The group A underwent craniocerebral trepanation and drainage while the group B received craniotomy.Then operation time,amount of intraoperative blood loss,clearance rate of hematoma for the first time,time of he-matoma disappearing,neurological function defect score,complication rate and prognosis in the two groups were compared.Re-sults Operation time of the group A was (37.03 ± 9.86 )minutes,significantly shorter than(1 1 6.12 ± 8.73 )minutes in the group B.And the group A showed lower hematoma clearance rate(40.23±8.47%)than group B(72.54±9.1 6%),time of he-matoma disappearing(4.96±1.30 d)in the group A was significantly longer than that in the group B(3.61±1.25 d)(All P <0.05).Before the treatment there was no significant difference in neurological function defect score between the two groups (P >0.05),but after treatment,which were(12.24±3.1 7)scores in the group A,significantly lower than(21.68±3.52)scores in the group B (P < 0.05 ).The group A had the pulmonary infection rate of 2.33%,which was significantly lower than 1 6.28% in the group B;Similarly,group A showed higher postoperative re-bleeding rate(18.60%)than the group B(4.65%) (P <0.05 ).Poor prognosis rate of the group A(25.58%)was significantly lower than that in the group B(46.5 1%)(P <0.05).Conclusion Compared with craniotomy,craniocerebral trepanation and drainage show shorter operation time,better neurological functional recovery and better prognosis with smaller trauma and easier feasibility,but which may have longer time of hematoma disappearing,lower hematoma clearance rate for the first time and higher re-bleeding rate.So we should choose rational operation method based on the patients’comprehensive condition.关键词
颅脑钻孔引流术/开颅术/高血压脑出血/神经功能/预后Key words
Craniocerebral trepanation and drainage/Craniotomy/Hypertensive cerebral hemorrhage/Neurological func-tion/Prognosis分类
医药卫生引用本文复制引用
杜福宏,宋良鹏,郑德伟,盛毅,李洪朋,孙西周..颅脑钻孔引流术与开颅治疗高血压脑出血对神经功能及预后的影响[J].中国实用神经疾病杂志,2016,19(18):8-10,3.
