| 摘要: |
| ［摘要］ 目的 探讨超早期立体定向手术治疗高血压脑出血的疗效。方法 对66例高血压脑出血分成超早期组(34例)和早期组(32例)施行立体定向脑内血肿排空术，比较两组疗效。结果 超早期组术后死亡4例；获随访28例按ADL分级评定Ⅰ级（良好）5例，Ⅱ级（中残）18例，Ⅲ、Ⅳ级（重残）4例，植物生存1例。早期组术后死亡3例；获随访27例按ADL分级评定Ⅰ级（良好）3例，Ⅱ级（中残）12例，Ⅲ、Ⅳ级（重残）11例，植物生存1例。对两组患者良好-中残率及重残率进行比较，差异有统计学意义（uc=2.015,P<0.05），超早期组疗效优于早期组。结论 超早期立体定向手术治疗高血压脑出血能明显提高临床疗效，如条件许可，应尽早实施立体定向手术清除血肿，减轻血肿对脑组织的损害，降低患者的致残率。 |
| 关键词: 高血压脑出血 立体定向 超早期 并发症 |
| DOI：10.3969/j.issn.1674-3806.2010.09.08 |
| 分类号:R 544.1； R 743.34 |
| 基金项目: |
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| Clinical analysis of the hypertensive intracranial hemorrage treated by stereotactic method in ultra-early stage |
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LIU Gui-biao,HUANG He-qing,CHEN Jia-kang,et al.
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Department of Neurosurgery,the Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545005,China
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| Abstract: |
| ［Abstract］ Objective To study the outcome of hypertensive intracranial hemorrhage treated by stereotactic methods in ultra-early stage.Methods Sixty-six patients with hypertensive intracranial hemorrhage were divided into two groups: ultra-early group (34 cases) and early group (32 cases). Hemorrhagic masses were evacuated by stereotactic methods. The outcome between two groups was compared.Results In ultra-early group, 4 cases were dead.And 28 cases were followed-up, good in 5 cases, moderate disability in 18 cases, severe disability in 4 cases, and vegetative stage in 1 case. In early group, 3 cases were dead. And 27 cases were followed-up, good in 3 cases,moderate disability in 12 cases, sever disability in 11 cases, and vegetative stage in 1 case. The comparison of good- moderate disability rate and severe disability rate between two groups showed the treatment effect of the ultra-early group was better than that of early group（uc=2.015,P<0.05).Conclusion Better outcome might be achieve by ultra-early evacuation with stereotactic method for hypertensive intracranial hemorrhage. |
| Key words: Hypertensive intracranial hemorrhage Stereotaxis Ultra-early stage Complications |
