首页|微创下置管抽吸液化引流术与常规开颅血肿清除术治疗高血压脑出血患者的临床效果对比

微创下置管抽吸液化引流术与常规开颅血肿清除术治疗高血压脑出血患者的临床效果对比

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目的 对比微创下置管抽吸液化引流术与常规开颅血肿清除术治疗高血压脑出血患者的临床效果.方法 选取我院收治的110例高血压脑出血患者随机分为对照组(n=55)和观察组(n=55).对照组采用常规开颅血肿清除术治疗,观察组采用微创下置管抽吸液化引流术治疗,比较两组的手术相关指标、血肿清除率及并发症发生率.结果 观察组术中出血量少于对照组,手术时间、血肿完全消散时间及住院时间均短于对照组(P<0.05).观察组血肿清除率、并发症发生率分别为94.55%、10.91%,低于对照组的80.00%、27.27%(P<0.05).结论 与常规开颅血肿清除术相比,微创下置管抽吸液化引流术可明显减少高血压脑出血患者术中出血量,缩短手术时间、血肿完全消散时间及住院时间,提高血肿清除率,降低并发症发生率.
Comparison on Clinical Effects of Minimally Invasive Catheter Suction Liquefaction Drainage and Conventional Craniotomy Hematoma Removal in the Treatment of Patients with Hypertensive Cerebral Hemorrhage
Objective To compare the clinical effects of minimally invasive catheter suction liquefaction drainage and conventional craniotomy hematoma removal in the treatment of patients with hypertensive cerebral hemorrhage.Methods 110 patients with hypertensive cerebral hemorrhage admitted to our hospital were randomly divided into control group(n=55)and observation group(n=55).The control group was treated with conventional craniotomy hematoma removal,and the observation group was treated with minimally invasive catheter suction liquefaction drainage.The operation related indicators,hematoma clearance rate and incidence of complications were compared between the two groups.Results The intraoperative blood loss of the observation group was less than that of the control group,and the operation time,complete hematoma disappearance time and hospitalization time were shorter than those of the control group(P<0.05).The hematoma clearance rate and incidence of complications in the observation group were 94.55%and 10.91%,respectively,lower than 80.00%and 27.27%in the control group(P<0.05).Conclusions Compared with conventional craniotomy hematoma removal,minimally invasive catheter suction liquefaction drainage can significantly reduce the intraoperative blood loss,shorten the operation time,complete complete hematoma disappearance time and hospitalization time,improve the hematoma clearance rate and reduce the incidence of complications in patients with hypertensive cerebral hemorrhage.

Hypertensive cerebral hemorrhageMinimally invasive catheter suction liquefaction drainageConventional craniotomy hematoma removal

古瑞航、许耀伟、骆慧武

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洛阳市中医院神经外科,河南洛阳 471000

高血压脑出血 微创下置管抽吸液化引流术 开颅血肿清除术

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(5)
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