Clinical outcomes of patients with hypertensive intracerebral hemorrhage in the thalamus received stereotactic combined with microsurgical treatment
10.3760/cma.j.issn.1671-8925.2012.08.015
- VernacularTitle:立体定向联合显微手术治疗丘脑高血压脑出血的临床预后分析
- Author:
Lü-Qian HUANG
1
;
Ming GONG
;
Zhong-An WANG
;
De-Yong ZHANG
;
Li-Wen YI
;
Jun-Hui LIU
Author Information
1. 贵州省兴义市人民医院
- Keywords:
Hypertensive intracerebral hemorrhage;
Thalamus;
Stereotactic treatment;
Microsurgery
- From:
Chinese Journal of Neuromedicine
2012;11(8):815-818
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical outcomes of patients with hypertensive intracerebral hemorrhage in the thalamus received stereotactic combined with microsurgical treatment,and find the best treated method. Methods Forty-three patients with hypertensive intracerebral hemorrhage in the thalamus,admitted to our hospital from October 2009 to March 2011,were selected in our study; these patients were divided into stereotactic combined with microsurgical treatment group (observation group,n=22) and direct surgery group (control group,n=21).Preoperative hematoma,and hematoma at 1 week and 1 month after the treatments under CT were compared; clinical curative effect at 1 month after the treatments and activities of daily living (ADL) 3 months after the treatments were compared. Results The hematoma in the observation group 1 week and 1 month after the treatments was statistically different as compared with that in the control group (P＜0.05).Clinical curative effect in the observation group (average rank=18.022) was better than that in the control group (26.166) with significant differences (P＜0.05); the total effective rate in the observation group was 77.3％ and that in the control group was 52.4％ with significant differences (P＜0.05).ADL scale indicated that the ability of the observation group (average rank=18.363) were better than that in the control group (25.809) with significant differences (P＜0.05).The postoperative complication rate in the observation group (22.7％) was lower than that in the control group (42.8％) with significant differences (P＜0.05). Conclusion Stereotactic combined with microsurgical treatment in patients with hypertensive intracerebral hemorrhage in the thalamus is safe and effective; this treatment can improve the postoperative living quality and enjoy few complications,which is worth in the clinical application.
