【作者】 龚杰；

【导师】 刘伟国；

【作者基本信息】 浙江大学 ， 外科学， 2006， 硕士

【摘要】 目的:探讨神经内镜与开颅血肿清除两种手术方法治疗高血压脑出血疗效的差异。方法:对我院2000.1～2005.5期间收治的40例高血压脑出血手术病例进行回顾分析,所有病例按照血肿≤40ml或>40ml分为两个区段,比较每个区段中内镜和开颅两组病人的预后情况。结果:血肿≤40ml区段,两种治疗方法的有效率和死亡率均无统计学差别,内镜组病人显效率略较开颅组高;血肿>40ml区段,开颅组病人治疗的有效率较内镜组高(p<0.05),而两组死亡率无统计学差别。结论:高血压脑出血血肿≤40ml患者,行神经内镜手术创伤小,疗效满意;血肿>40ml患者,开颅血肿清除术优于神经内镜手术。更多还原

【Abstract】 Objective To investigate and compare the therapeutic effect of the two surgical management below in hypertensive intracerebral hemorrhage(HICH), endoscopic management and craniotomic hematoma evacuation. Methods From January 2001 to May 2005, forty patients of HICH in our hospital underwent endoscopic management or craniotomic hematoma evacuation. The patients with intracerebral hematoma volume(ICH) ≤40ml and >40ml were divided into two groups. In each group, the therapeutic effect of the two surgical management was compared. Results In the group of ICH≤40ml, there was no difference in therapeutic effect between endoscopic management and craniotomic hematoma evacuation. But in the group of ICH>40ml, the outcome of craniotomic hematoma evacuation was better. Conclusion Endoscopic management might fit patients of HICH whose ICH was less than 40ml, but it should be less suitable than craniotomic hematoma evacuation in treating a bigger hematoma.更多还原