摘要
目的探讨影响高血压脑出血(HICH)微创外科治疗预后的相关因素。方法回顾性分析经微创手术治疗的HICH病人106例,总结其临床特点和疗效,并采用单因素和Logistic多因素回归分析,总结影响预后的有关因素。结果单因素分析显示:平均动脉压(MAP)、术前意识状态、血肿形态、出血部位、血肿量、血肿与脑室关系、血肿再发及术后并发症等因素与HICH微创外科治疗临床预后有关(P<0.05)。多因素回归分析显示:术前意识状态、术后并发症及出血部位与HICH微创外科治疗预后密切相关(P<0.01)。结论微创外科手术治疗HICH具有简单、安全、疗效好等优点;术前意识状态、术后并发症、出血部位是影响其预后的重要因素。
Objective To explore the prognosis factors of hypertensive intracerebral hemorrhage （HICH） treated with minimally invasive surgery. Methods The clinical data and therapeutical efficacy of 106 patients with HICH treated by minimally invasive surgery were retrospectively analyzed. Univariate analysis and multivariate logistic regression analysis were used to study the factors affecting prognosis. Results Univariate analysis results showed that mean arterial pressure, preoperative conscious state, shape, site and volume of hematoma, relation of hematoma to the ventricle, hematoma recurrence, and postoperative complications were related to clinical prognosis of the surgery for HICH （P 〈 0.05）. Multivariate logistic regression analysis showed that the preoperative conscious state, post-operative complications and site of hematoma were closely related to clinical prognosis of the surgery for HICH （P 〈 0.01）. Conclusion Minimally invasive surgery for HICH is convenient, safety, and of good therapeutical efficacy. The preoperative conscious state of patients, post-operative complications and site of hematoma are significant factors affecting the prognosis.
出处
《中国微侵袭神经外科杂志》
CAS
2007年第10期448-450,共3页
Chinese Journal of Minimally Invasive Neurosurgery
关键词
颅内出血
高血压性
神经外科手术
预后
intracranial hemorrhage, hypertensive
neurosurgical procedures
prognosis
