软-硬通道结合微创血肿穿刺引流术与硬通道微创血肿穿刺引流术治疗高血压脑出血的效果比较OA

Objective To compare the clinical effects of different channels of minimally invasive hematoma puncture and drainage in the treatment of hypertensive intracerebral hemorrhage(HICH).Methods 96 patients with HICH were divided into two groups according to different treatment regimens.The control group was treated with hard channel minimally invasive hematoma puncture and drainage,and the observation group was treated with soft-hard combined channel minimally invasive hematoma puncture.The residual hematoma volume,clinical efficacy and complications were compared between the two groups.Results The residual hematoma volume at 1,3,5 and 7 days after surgery in the observation group were significantly less than those in the control group,the total effective rate of treatment at 3 weeks after surgery was significantly higher than that in the control group,and the total incidence of postoperative complications was significantly lower than that in the control group(P<0.05).Conclusions Compared with hard channel minimally invasive hematoma puncture and drainage,soft-hard combined channel minimally invasive hematoma puncture and drainage can obviously reduce the postoperative hematoma residual volume of HICH patients,with more significant clinical efficacy and higher safety.