罗昆,邓大庆,曾祥福,张晓海.小骨窗显微术治疗68例高血压性脑出血的临床分析.[J].中南医学科学杂志.,2011,39(1):89-91.
小骨窗显微术治疗68例高血压性脑出血的临床分析
The Clinical Curative Effect Analysis of Key-hole Craniectomy Microsurgery in 68 Cases of Hypertensive Intracerebral Hemorrhag
投稿时间:2010-04-12  
DOI:
中文关键词:  高血压性脑出血  小骨窗显微术  疗效
英文关键词:hypertensive intracerebral hemorrhage  key-hole craniectomy microsurgery  curative effect
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作者单位
罗昆1,邓大庆2,曾祥福1,张晓海1 1.怀化市第一人民医院 神经外科湖南 怀化 4180002.湘潭市中心医院 心内一科 
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中文摘要:
      目的探讨小骨窗显微术治疗高血压性脑出血的临床疗效。方法将68例高血压性脑出血病人分为治疗组与对照组。治疗组34例在内科治疗基础上行CT片定位小骨窗术;对照组34例为内科保守治疗。比较两组治疗后的有效率。结果以日常生活能力(ADL)作为疗效的评价指标。治疗组痊愈12例,显著进步10例,有效7例,无效5例,总有效率为85.3%;对照组痊愈4例,显著进步6例,有效5例,无效19例,总有效率为44.1%,两组比较差异有显著性(P<0.05)。结论小骨窗显微术是一种治疗高血压性脑出血的安全有效的方法。
英文摘要:
      ObjectiveTo explore the clinical effect of key-hole craniectomy microsurgery of hypertensive intracranial hematoma.Methods68 cases of hypertensive intracerebral hemorrhage patients were divided into treatment group and control group.Treatment group,34 cases of medical treatment based on CT positioned upstream small osseous window treatment;Control group,34 cases for conservative treatment.The two groups efficiency were compared after treatment.ResultsActivities of daily living (ADL)was used as an efficacy evaluation index.In treatment group,12 cases cured,10 cases had significant improvement,7 cases were effective,5 cases were ineffective result,the total effective rate was 85.3%.In the control group,4 cases were cured,6 cases had significant improvement result,5 cases had effective,19 cases had ineffective result,the total effective rate was 44.1%.There was a significant difference between the two groups(P<0.05).Conclusion The key-hole craniectomy microsurgery is a safe and effective method for curing hypertensive cerebral hemorrhage.
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