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目的 :探讨颅内血肿微创清除术治疗急性高血压脑出血的近期疗效。方法 :手术组 5 0例给予微创颅内血肿清除术 ,对照组 30例给予常规内科治疗 ,比较两组总有效率 ,死亡率及不同时期神经功能缺损程度评分的减少值。结果 :手术组总有效率为86 % ,对照组为 5 3% (χ2 =2 6 ,P <0 .0 0 5 ) ;手术组病死率与对照组比较明显降低 ,神经功能缺损评分明显减少 (P <0 .0 5 )。结论 :颅内血肿微创清除术是治疗急性高血压脑出血 ,尤其是超早期高血压脑出血的较好方法。
Objective: To investigate the short-term curative effect of minimally invasive intracranial hematoma in the treatment of acute hypertensive intracerebral hemorrhage. Methods: Fifty patients in the operation group were given minimally invasive intracranial hematoma and 30 patients in the control group were given conventional medical treatment. The total effective rate, the mortality rate and the degree of neurological deficit score in the two groups were compared. Results: The total effective rate was 86% in the operation group and 53% in the control group (χ2 = 26, P <0.05). The mortality in the operation group was significantly lower than that in the control group, and the score of neurological deficit was significantly decreased P <0. 05). Conclusion: Minimally invasive removal of intracranial hematoma is a better method for the treatment of acute hypertensive cerebral hemorrhage, especially for early hypertensive intracerebral hemorrhage.