比较立体定向置管血肿引流术与微创锥颅血肿碎吸术对脑出血患者术后再出血的影响

摘要

Objective To compare the effects of stereotactic catheter drainage and minimally invasive surgery for intracranial hematoma in patients with intracerebral hemorrhage .Methods From January 2015 to October 2016 in our hospital 120 cases of hypertensive cerebral hemorrhage patients as the research object ,all patients were randomly divided into stereotactic hematoma drainage group ( group A ) and micro invasive puncture hematoma aspiration group ( B group ) ,60 cases in each group .The incidence of rebleeding and the changes of platelet and coagulation function were compared between the two groups .Results The incidence of rebleeding after operation was 6.67%vs 13.33%(P<0.05)in group vsB(A).Compared with B group, Fbg and PLT levels were higher in the A group (P<0.05).Compared with B group,the levels of PT,aPTT, TT,PDW and MPV in the A group were lower (P<0.05).Conclusion Stereotactic catheter drainage in the treatment of cerebral hemorrhage can reduce the incidence of postoperative rebleeding , and does not affect platelet and coagulation function .%目的 比较立体定向置管血肿引流术与微创锥颅血肿碎吸术对脑出血患者术后再出血的影响.方法选择2015年1月至2016年10月于我院就诊的120例高血压脑出血患者作为研究对象,将所有患者随机分为立体定向置管血肿引流术组(A组)和微创锥颅血肿碎吸术组(B组),每组60例.比较两组患者术后再出血的发生率、以及血小板、凝血功能指标水平的变化.结果术后再出血发生率、A组vs B组为6.67%vs 13.33%(P<0.05).与B组相比,A组患者Fbg、PLT水平较高(P<0.05);与B组相比,A组患者PT、aPTT、TT、PDW、MPV水平降低(P<0.05).结论立体定向置管血肿引流术治疗脑出血时更能降低术后再出血的发生率,同时不影响血小板与凝血功能.