摘要
目的 :评估YL - 1型针穿刺碎吸术治疗高血压脑出血的价值。方法 :对 138例采用YL - 1型颅内血肿穿刺碎吸术治疗高血压脑出血进行回顾性LOGISTIC回归分析 ,分别比较年龄、手术时间、入院时GCS和血肿量与病死率的关系。结果 :①各年龄组病死率无差别 ;②出血时间越短 ,病死率越高 ;③入院时GCS越低 ,病死率越高 ;④血肿量越大 ,病死率越高。结论 :本研究表明年龄不能作为限制YL - 1型针穿刺碎吸术指征 ,手术效果取决于血肿量的大小。
Objective:To investigate the value of YL-1 puncture hematoma evacuation for hypertensive intracerebral hematoma.Methods:138 patients with hypertensive intracerecbral hematoma treated by YL-1 puncture hematoma evacuative were studied retrospectively,and the relationship between the age,the time of operation,GCS and volume of hemorrhage with mortality were with logistic regression method analysis.Results:①There were no significant relation in all the ages;②the shorter the hemorrhage,the higher the mortality;③the lower GCS was,the higher the mortality was;④the bigger the hemorrhage volume,the higher the mortality.Conclusion:The present study indicates that age is not an factor to limit minimally invasive operation(YL-1 puncture hematoma evacuation).The effect of surgery depended on the time of hemorrhage,GCS and volume of hemorrhage.
出处
《重庆医科大学学报》
CAS
CSCD
2004年第4期526-528,共3页
Journal of Chongqing Medical University
关键词
高血压脑出血
微侵袭
病死率
Hypertensive intracerebral hematoma
Minimally invasive operation
Mortality
