Curative effect analysis of super-early keyhole surgery for hypertensive cerebral hemorrhage
10.11659/jjssx.1672-5042.201306024
- VernacularTitle:高血压脑出血救治中超早期锁孔手术的疗效分析
- Author:
Minghuo HUANG
;
Jie LUO
;
Chunlin XU
;
Yu SHEN
;
Ju GAO
- Publication Type:Journal Article
- Keywords:
hypertension;
cerebral hemorrhage;
complication;
keyhole surgery
- From:
Journal of Regional Anatomy and Operative Surgery
2013;(6):637-639
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the curative effect of super-early keyhole surgery in treatment of hypertensive cerebral hemorrhage. Methods Clinical data of patients with hypertensive cerebral hemorrhage who received treatment in our hospital from April 2010 to October 2012 were retrospectively analyzed. Patients were divided into the observation group ( keyhole surgery group) and the control group ( routine group) by different therapeutic methods. The operation time, rate of hematoma clearance, postoperative complications, and recovery of neu-ral function of the two groups were compared. Results The observation group had a shorter operation time than the control group, and the difference was statistically significant(P<0. 001). There was no singnificant difference between the two groups in rate of hematoma clear-ance at the time of tube drawing(P>0. 05). The observation group had less postoperative complications than the control group, and the difference was statistically significant(P<0. 05). The observation group had a lower rate of metabolic disorders than the control group with a statistically significant difference(P<0. 05). Patients of the observation group had a higher scores of SSS than patients of the control group 28 days after operation, and the difference was statistically significant(P<0. 05). 6 months after operation, the observation group had a bet-ter ADL than the control group, and the difference was statistically significant(P<0. 05). Conclusion Super-early keyhole surgery which has less intraoperative injury, postoperative complication, and metabolic disorders, can achieve a better effect than routine operation. And it is of better neural functional recovery.
