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目的:探讨微创碎吸治疗自发性脑出血的临床疗效。方法:237例自发性脑出血患者按手术时期分为超早期手术组(85例),早期手术组(118例),延迟手术组(34例),均行微创血肿碎吸术,同期非手术225例自发性脑出血患者为对照组,比较各组疗效及神经功能评分。结果:超早期手术组、早期手术组疗效比较差异无统计学意义(P>0.05),超早期手术组、早期手术组疗效优于延迟手术组及对照组,差异有统计学意义(P<0.05),治疗后神经功能评分与延迟组、对照组比较差异有统计学意义(P<0.01),术后再出血率比较差异无统计学意义(P>0.05)。结论:有手术适应证的自发性脑出血患者,应在10 h内行超早期颅内血肿碎吸术。
Objective: To investigate the clinical efficacy of minimally invasive aspiration in treatment of spontaneous intracerebral hemorrhage. Methods: A total of 237 patients with spontaneous intracerebral hemorrhage undergoing surgery were divided into three groups: ultra-early operation group (85 cases), early operation group (118 cases) and delayed operation group (34 cases) 225 patients with spontaneous intracerebral hemorrhage surgery as a control group, the efficacy of each group and neurological function scores were compared. Results: There was no significant difference between the early surgery group and the early surgery group (P> 0.05). The effect of the early surgery group and the early operation group was better than that of the delayed operation group and the control group (P <0.05) ). After treatment, there was significant difference between the neurological score and the delayed group and the control group (P <0.01). There was no significant difference in the rate of rebleeding between the two groups (P> 0.05). Conclusion: Patients with spontaneous intracerebral hemorrhage who have surgical indications should undergo ultra-early intracranial hematoma aspiration in 10 h.