比较立体定向置管血肿引流术与微创锥颅血肿碎吸术对脑出血患者术后再出血的影响
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摘要
目的比较立体定向置管血肿引流术与微创锥颅血肿碎吸术对脑出血患者术后再出血的影响。方法选择2015年1月至2016年10月于我院就诊的120例高血压脑出血患者作为研究对象,将所有患者随机分为立体定向置管血肿引流术组(A组)和微创锥颅血肿碎吸术组(B组),每组60例。比较两组患者术后再出血的发生率、以及血小板、凝血功能指标水平的变化。结果术后再出血发生率、A组vs B组为6.67%vs 13.33%(P<0.05)。与B组相比,A组患者Fbg、PLT水平较高(P<0.05);与B组相比,A组患者PT、a PTT、TT、PDW、MPV水平降低(P<0.05)。结论立体定向置管血肿引流术治疗脑出血时更能降低术后再出血的发生率,同时不影响血小板与凝血功能。
Objective To compare the effects of stereotactic catheter drainage and minimally invasive surgery for intracranial hematoma in patients with intracerebral hemorrhage. Methods From January 2015 to October 2016 in our hospital 120 cases of hypertensive cerebral hemorrhage patients as the research object,all patients were randomly divided into stereotactic hematoma drainage group( group A) and micro invasive puncture hematoma aspiration group( B group),60 cases in each group. The incidence of rebleeding and the changes of platelet and coagulation function were compared between the two groups. Results The incidence of rebleeding after operation was 6. 67% vs 13. 33%( P < 0. 05) in group vs B( A). Compared with B group,Fbg and PLT levels were higher in the A group( P < 0. 05). Compared with B group,the levels of PT,a PTT,TT,PDW and MPV in the A group were lower( P < 0. 05). Conclusion Stereotactic catheter drainage in the treatment of cerebral hemorrhage can reduce the incidence of postoperative rebleeding,and does not affect platelet and coagulation function.
Objective To compare the effects of stereotactic catheter drainage and minimally invasive surgery for intracranial hematoma in patients with intracerebral hemorrhage. Methods From January 2015 to October 2016 in our hospital 120 cases of hypertensive cerebral hemorrhage patients as the research object,all patients were randomly divided into stereotactic hematoma drainage group( group A) and micro invasive puncture hematoma aspiration group( B group),60 cases in each group. The incidence of rebleeding and the changes of platelet and coagulation function were compared between the two groups. Results The incidence of rebleeding after operation was 6. 67% vs 13. 33%( P < 0. 05) in group vs B( A). Compared with B group,Fbg and PLT levels were higher in the A group( P < 0. 05). Compared with B group,the levels of PT,a PTT,TT,PDW and MPV in the A group were lower( P < 0. 05). Conclusion Stereotactic catheter drainage in the treatment of cerebral hemorrhage can reduce the incidence of postoperative rebleeding,and does not affect platelet and coagulation function.
引文
[1]高晓兰,胡长梅,杨卿,等.高血压脑出血再发生的危险因素分析.中华神经外科杂志,2012,15(1):154-156.
[2]王健平.微创锥颅穿刺软通道引流术治疗高血压脑出血[J].中国医师杂志,2012,14(3):360-361.
[3]谢振都.高血压脑出血立体定向置管血肿引流术的手术时机与术后再出血相关性研究[J].当代医学,2012,3(14):301-302.
[4]郭志强.高血压脑出血术后再出血的原因及对策[J].徐州医学院学报,2012,3(7):214-215.
[5]李晓卫,孙昭胜,叶艳巧,等.阿司匹林与脑出血术后再出血相关性和血小板减少治疗的研究.血栓与止血学,2010.26(2):347-349.
[6]赵文卿,赵俊.锥颅碎吸在基底节区高血压脑出血中的临床应用[J].中国卫生产业,2013,10(10):108-109.
[7]陈先平.锥颅血肿引流术治疗高血压脑出血64例疗效分析[J].现代诊断与治疗,2012,23(7):889-891.
[8]李云翔,费舟.双针微创锥颅治疗高血压脑出血:18例报告[J].中华神经外科疾病研究杂志,2012,11(5):460-461.
[2]王健平.微创锥颅穿刺软通道引流术治疗高血压脑出血[J].中国医师杂志,2012,14(3):360-361.
[3]谢振都.高血压脑出血立体定向置管血肿引流术的手术时机与术后再出血相关性研究[J].当代医学,2012,3(14):301-302.
[4]郭志强.高血压脑出血术后再出血的原因及对策[J].徐州医学院学报,2012,3(7):214-215.
[5]李晓卫,孙昭胜,叶艳巧,等.阿司匹林与脑出血术后再出血相关性和血小板减少治疗的研究.血栓与止血学,2010.26(2):347-349.
[6]赵文卿,赵俊.锥颅碎吸在基底节区高血压脑出血中的临床应用[J].中国卫生产业,2013,10(10):108-109.
[7]陈先平.锥颅血肿引流术治疗高血压脑出血64例疗效分析[J].现代诊断与治疗,2012,23(7):889-891.
[8]李云翔,费舟.双针微创锥颅治疗高血压脑出血:18例报告[J].中华神经外科疾病研究杂志,2012,11(5):460-461.