Clinical application of minimally invasive surgery in elderly patients with cerebral hemorrhage
10.3760/cma.j.issn.1673-4904.2013.14.001
- VernacularTitle:微创化手术方式在高龄脑出血患者中的应用
- Author:
Hongbing ZHANG
;
Xiaofeng WANG
;
Baoyan SU
;
Zongchun TANG
;
Jialong LI
;
Rongjun ZHANG
;
Guodong GAO
- Publication Type:Journal Article
- Keywords:
Cerebral hemorrhage;
Aged;
Surgical procedures,minimally invasive
- From:
Chinese Journal of Postgraduates of Medicine
2013;(14):1-3
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of minimally invasive surgery in elderly patients with cerebral hemorrhage.Methods Clinical data of hypertensive cerebral hemorrhage patients who were older than 65 years were retrospectively analyzed,and they were divided into two groups by different surgical methods.Regular group:from March 2010 to February 2011,123 cases of conventional bone window surgery.Minimally invasive group:from March 2011 to February 2012,136 cases of minimally invasive surgery.One month after surgery,two groups of patients with the scores of Glasgow outcome scale (GOS) to determine the prognosis.Results The better prognosis rate in minimally invasive group was higher than that in regular group [39.7％(54/136) vs.29.3％(36/123)],but there was no significant difference (P ＞0.05).The incidence rate of death in minimally invasive group was significantly lower than that in regular group [17.6％ (24/136) vs.28.5％ (35/123)],and there was significant difference (P ＜ 0.05).Conclusion For elderly patients with cerebral hemorrhage,the minimally invasive surgery can significantly improve the prognosis.
