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高血压性脑出血碎吸与开颅治疗比较

Intracranial breaking and drainaging of hematoma or removal through craniotomy in hypertensive cerebral hemorrhage

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【作者】 苏贺先娄飞云于振国张少军杨百春刘长文

【Author】 Su Hexian,Lou Feiyun,Yu Zhenguo,Zhang Shaojun,Yang Baichun,Liu Changwen (Department of Neurosurgery,Affiliated Hospital of Bengbu Medical College,Anhui 233004 )

【机构】 蚌埠医学院附属医院神经外科

【摘要】 目的:对高血压性脑出血采用钻颅碎吸与开颅两种治疗方法的近期与远期疗效比较。方法:97例随机分组,采用CT定位、颅内碎吸与传统开颅清除血肿。术后随访3~12个月。结果:碎吸组与开颅组在降低病死率和提高远期生存质量方面,差异均无显著性(P>0.05)。结论:首选碎吸治疗高血压性脑出血,不一定要行开颅术。

【Abstract】 Objective:To compare the immediate and nemote effects of intracranial breaking and drainaging hematoma with that of surgical removal through craniotomy in hypertensive cerebral hemorrhage.Methods:97 cases were divided randomly into two groups:one group treated with intracranial breaking and drainaging of hematomas and another group by traditional craniotomy with the localization by CT.All patients were followed up from 3 to 12 months after surgical manipulation.Results:The difference in decreasing of fatality rate and improving in nemote effect in survival quality between the two groups was not significant( P >0.05).Conclusions:Intracranial breaking and drainaging of hematoma should be first of choice in treating the hypertensive cerebral hemorrhage.

  • 【文献出处】 蚌埠医学院学报 ,JOURNAL OF BENGBU MEDICINAE COLLEGE , 编辑部邮箱 ,1999年01期
  • 【分类号】R651.12
  • 【被引频次】4
  • 【下载频次】21
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