摘要
目的探讨软通道技术治疗中等量高血压基底节区血肿与预后的关系,寻求其最佳手术治疗时间窗。方法 2009年6月～2011年6月我院神经外科把符合研究标准的145例患者,运用随机抽签方法筛选出85例作为研究对象,并将其随机分为超早期手术组(<7h)28例,早期手术组(7～12h)28例,延期手术组(>12h)29例。三组均实施软通道血肿碎吸溶解引流术,观察其住院期间的再出血率、病死率及术后6个月日常生活自理能力。结果①再出血率:超早期组20例再出血、再出血率71.43%;早期组再出血7例,再出血率25.00%,延期组再出血5例,再出血率17.24%;②病死率:超早期组死亡12例、病死率42.88%;早期组死亡4例、病死率14.29%,延期组死亡5例、病死率17.24%;③术后6个月日常生活自理能力,三组差异均无统计学意义。结论出血后7～12h的早期手术是软通道技术治疗中等量高血压基底节区血肿最佳手术时间窗。
Objective To analyze the outcome of different timing of hypertensive basal ganglia hematoma removal procedure using soft tube,and investigate the optimal timing of this procedure.Methods 85 of 145 patients with hypertensive intracranial hemorrhage admitted since June 2009 to June 2011 were included,and randomized divided into three groups,ultra-early group（within 7 hours,28 cases）,early group（7 to 12 hours,28 cases）,and postponed group（over 12 hours,29 cases）.Intracranial hematoma was removed by excision,aspiration and suction using soft tube technique in all 85 cases.The incidence of rebleeding,mortality and Activities of daily living were evaluated.Results The incidence of rebleeding was 71.43%（20 of 28） in ultra-early group,25%（7 of 28） in early group,and 17.24%（5 of 29） in postponed group.The mortality of rebleeding was 42.88%（12 of 28） in ultra-early group,14.29%（4 of 28） in early group,and 17.24%（5 of 29） in postponed group,respectively.There were no significant differences in ADL scale between three groups.Conclusion The optimal timing of basal ganglia hematoma removal procedure using soft tube is 7 to 12 hours after hemorrhage.
出处
《四川医学》
CAS
2013年第7期893-895,共3页
Sichuan Medical Journal
基金
国家自然科学基金(编号:81071037)
关键词
基底节区血肿
中等量
高血压
软通道
时间窗
basal ganglia hematoma
moderate amount
hypertension
soft tube
timing
