老年重症高血压脑出血患者的微创治疗
高血压脑出血,,高血压脑出血；微创术；老年人,1资料和方法,2结果,3讨论,参考文献
【关键词】 高血压脑出血；微创术；老年人【摘 要】 目的 探讨颅内血肿微创清除术(微创术)治疗老年重症高血压脑出血患者的疗效。方法 对30例60岁以上、基底节区高血压脑出血、血肿量大于60 ml的患者，采用脑CT片进行穿刺点定位，YL1型颅内血肿粉碎穿刺针对血肿进行穿刺、液化、引流，评估其病死率、好转率及治疗3周时神经功能评分，并与单纯药物治疗组(30例)进行比较。结果 微创术治疗组死亡8例，病死率26.7%，好转22例，好转率73.3%；保守组死亡15例，病死率50.0%，好转15例，好转率50.0%。治疗组病死率显著低于单纯药物治疗组(P<0.01)，好转率则显著高于单纯药物治疗组(P<0.01)；治疗3周时微创术组神经功能评分(16.52±4.76)分，单纯药物治疗组(22.47±5.83)分，2组差异有非常显著意义(P<0.01)，提示微创术治疗组患者神经功能恢复程度好于单纯药物治疗组。结论 微创术治疗老年重症高血压脑出血患者效果较好，值得临床应用。
Minimally invasive surgery for massive intracerebral hemorrhage in elderly patients
HAN Ju.
Department of Neurology,Shandong Provincial Qianfoshan Hospital affiliated to Shandong University,Jinan 250014,China
【Abstract】 Objective To investigate the therapeutic effect of minimally invasive surgery on massive intracerebral hemorrhage in elderly patients.Methods 30 elderly patients(age >60 yr) with massive intracerebral hemorrhage(hemorrhage volume >60 ml) were treated with YL1 type drill apparatus under CT graph control, and the outcome such as mortality, survival rate and nervous function scale 3 weeks after treatment were compared with those of control group.Results In minimally invasive surgery group ......
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