软通道与硬通道微创介入术治疗高血压脑出血的疗效对比

摘要

目的：观察软通道和硬通道微创介入术治疗高血压脑出血的临床效果。方法选择78例高血压脑出血患者作为研究对象，随机分为A、B 2组，各39例。软通道组应用硅胶软管，硬通道组应用Y L‐1型一次性颅内血肿粉碎穿刺针，分别进行血肿清除治疗，比较2组疗效。结果硬通道组与和软通道组，在治疗5d后血肿量分别为（11±2）mL、（12±2）mL ，总有效率分别为92.3％与89.7％。2组患者的血肿清除情况及临床疗效均显著，且2组间疗效相近。结论采用硬通道与软通道微创介入术都能够有效治疗高血压脑出血，2组方法疗效相似，软通道微创介入术的灵活性较强，引流管材质柔软，能够减少脑组织损伤。%Objective To investigate the curative effect comparison of soft channel and hard passage of minimally invasive method on treating patients with hypertensive cerebral hemorrhage.Methods Totaily 78 patients with hypertensive cerebral hemorrhage were randomly divided into soft channel group (n=39 ,treated with silicone hose hematoma clearance) and hard channel group (n=39 ,treated with one‐time YL‐1 type of intracranial hematoma puncture). The curative effect of two groups was compared.Results 5 d after treatment ,the hematoma volume and total effective rate of were (11 ± 2) mL and 92.3% in soft channel group ,(12 ± 2) mL and 89.7% in hard channel group ,respectively. The hematoma clearance and clinical efficacy of two groups had similar effect.Conclusion There are similar effect of soft channel and hard passage of minimally invasive method on treating patients with hypertensive cerebral hemorrhage. However ,soft channel minimally invasive method has stronger flexibility and lower brain tissue damage.