微创治疗与药物治疗高血压脑出血的临床分析

被引：25

作者：

余永程 ^{[1
]}

杨华荣 ^{[1
]}

郑江环 ^{[1
]}

宁丽洁 ^{[1
]}

伍国锋 ^{[2
]}

机构：

[1] 贵阳医学院第二附属医院神经内科

[2] 贵阳医学院附属医院神经内科

来源：

重庆医学 | 2013年 / 42卷 / 29期

关键词：

高血压; 脑出血; 微创血肿清除术; 治疗结果;

D O I：

暂无

中图分类号：

R651.1 [颅脑];

学科分类号：

1002 ; 100210 ;

摘要：

目的比较颅内血肿微创清除技术与内科保守治疗高血压脑出血的临床疗效。方法收集高血压性脑出血患者75例,根据治疗方式不同随机分为药物治疗组38例及微创治疗组37例,其中微创治疗组在标准药物治疗的基础上,接受微创治疗,即采用最小侵入操作清除血肿。采用国立卫生研究院(NIHSS)评分对两组患者治疗前后3、6周的神经功能缺损及自理能力恢复情况评分,应用平均微小各向异性值(fractional anisotropy,FA)评估弥散张量成像(DTI)术前和术后2周的变化。结果微创治疗组与药物治疗组患者,在治疗前神经功能缺损差异无统计学意义,在治疗后微创治疗组神经功能缺损程度及肌力恢复明显,两组比较差异有统计学意义(P<0.05)。结论微创血肿清除术是治疗高血压脑出血的有效方法。

引用

页码：3505 / 3507

页数：3

共 7 条

[1] Role of diffusion tensor imaging in a patient with spontaneous intracerebral hematoma treated by stereotactic evacuation [J].

Hsieh, Cheng-Ta ;

Chen, Cheng-Yu ;

Chiang, Yung-Hsao ;

Chang, Chin-Hong ;

Chang, Cheng-Fu .

SURGICAL NEUROLOGY, 2008, 70 (01) :75-78

[2] Image-guided endoscopic evacuation of spontaneous intracerebral hemorrhage [J].

Miller, Chad M. ;

Vespa, Paul ;

Saver, Jeffrey L. ;

Kidwell, Chelsea S. ;

Carmichael, Stanley T. ;

Alger, Jeffry ;

Frazee, John ;

Starkman, Sid ;

Liebeskind, David ;

Nenov, Valeriy ;

Elashoff, Robert ;

Martin, Neil .

SURGICAL NEUROLOGY, 2008, 69 (05) :441-446

[3] Diffusion tensor tractography predicts motor functional outcome in patients with spontaneous intracerebral hemorrhage [J].

Yoshioka, Hideyuki ;

Horikoshi, Toru ;

Aoki, Shigeki ;

Hori, Masaaki ;

Ishigame, Keiichi ;

Uchida, Mikito ;

Sugita, Masao ;

Araki, Tsutomu ;

Kinouchi, Hiroyuki .

NEUROSURGERY, 2008, 62 (01) :97-103

[4] Motor outcome according to diffusion tensor tractography findings in the early stage of intracerebral hemorrhage [J].

Cho, Sang-Hyun ;

Kim, Seong Ho ;

Choi, Byung Yun ;

Cho, Soo Ho ;

Kang, Jae Hoon ;

Lee, Chu-Hee ;

Byun, Woo Mok ;

Jang, Sung Ho .

NEUROSCIENCE LETTERS, 2007, 421 (02) :142-146

[5] Comparison of frame-based and frameless stereotactic hematoma puncture and subsequent fibrinolytic therapy for the treatment of supratentorial deep seated spontaneous intracerebral hemorrhage [J].

Kim, I.-S. ;

Son, B.-C. ;

Lee, S.-W. ;

Sung, J.-H. ;

Hong, J.-T. .

MINIMALLY INVASIVE NEUROSURGERY, 2007, 50 (02) :86-90

[6]

Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage （STICH）: a randomised trial[J] . A David Mendelow,Barbara A Gregson,Helen M Fernandes,Gordon D Murray,Graham M Teasdale,D Terence Hope,Abbas Karimi,M Donald M Shaw,David H Barer.The Lancet . 2005 (9457)

[7] Combined minimal invasive techniques in deep supratentorial intracerebral haematomas [J].

Nievas, MNCY ;

Haas, E ;

Höllerhage, HG ;

Schneider, H ;

Pöllath, A ;

Archavlis, E .

MINIMALLY INVASIVE NEUROSURGERY, 2004, 47 (05) :294-298

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