高血压脑出血开颅手术与其他治疗类型的对比分析
Comparative Analysis of Craniotomy and Other Treatment Types for Hypertensive Cerebral Hemorrhage
DOI: 10.12677/ACM.2022.127927, PDF,   
作者: 齐瑞祥：青海大学，青海 西宁；李文辉*：青海大学附属医院，青海 西宁
关键词: 高血压脑出血；神经内窥镜检查；小骨窗开颅术；Hypertension Cerebral Hemorrhage； Neuroendoscopy； Small Bone Window Craniotomy
摘要: 高血压脑出血(Hypertensive intracerebral hemorrhage, HICH)作为常见的急性脑血管疾病和脑出血类型中的一种，现在，已成为影响人们生命健康及导致死亡的重要因素，在中国有人统计发现，HICH的发病率在我国为0.72/10,000~1.15/10,000，其中大多数年龄于55岁之上，且年轻人的发病率有着愈来愈高的趋势。鉴于我国HICH患者较多原因，其根本是因为人口基数大所致，这不仅给患者及其家属带来不幸，亦会造成社会负担加重，降低人们的生活质量。故该篇文章于此分析相关治疗方式的特点及预后的对比作一综述。
Abstract: Hypertensive intracerebral hemorrhage (HICH), as one of the common acute cerebrovascular dis-eases and types of intracerebral hemorrhage, has now become an important factor affecting peo-ple’s life and health and leading to death. According to statistics in China, the incidence rate of HICH in China is 0.72/10,000~1.15/10,000, most of which are over 55 years old, and the incidence rate of young people is getting higher and higher. In view of the fact that there are many HICH patients in China, the fundamental reason is the large population base, which not only brings misfortune to the patients and their families, but also increases the social burden and reduces people’s quality of life. Therefore, this article reviews the characteristics of related treatment methods and the comparison of prognosis.
文章引用：齐瑞祥, 李文辉. 高血压脑出血开颅手术与其他治疗类型的对比分析[J]. 临床医学进展, 2022, 12(7): 6435-6439. https://doi.org/10.12677/ACM.2022.127927

参考文献

[1] Xu, S., Pang, Q., Lin, Z. and Zhang, N. (2017) Effect of Integrated Traditional Chinese and Western Medicine Therapy for Acute Hypertensive Intracerebral Hemorrhage: A Meta-Analysis. Artificial Cells, Nanomedicine, and Biotechnology, 45, 1186-1191. [Google Scholar] [CrossRef] [PubMed]
[2] Yang, G. and Shao, G. (2016) Clinical Ef-fect of Minimally Invasive Intracranial Hematoma in Treating Hypertensive Cerebral Hemorrhage. Pakistan Journal of Medical Sciences, 32, 677-681.
[3] Kang, J., Huang, Q. and Liu, Y. (2016) Advance in Research on the Genetic Etiol-ogy of Spontaneous Intracerebral Hemorrhage. Chinese Journal of Medical Genetics, 33, 702-707. [Google Scholar] [CrossRef] 
[4] Qureshi, A.I., Palesch, Y.Y., Barsan, W.G., Hanley, D.F., Hsu, C.Y., Martin, R.L., et al. (2016) Intensive Blood-Pressure Lowering in Patients with Acute Cerebral Hemorrhage. The New England Journal of Medicine, 375, 1033-1043. [Google Scholar] [CrossRef] 
[5] Jolink, W.M., Klijn, C.J., Brouwers, P.J., Kappelle, L.J. and Vaar-tjes, I. (2015) Time Trends in Incidence, Case Fatality, and Mortality of Intracerebral Hemorrhage. Neurology, 85, 1318-1324. [Google Scholar] [CrossRef] 
[6] Passos, G.F., Kilday, K., Gillen, D.L., Cribbs, D.H. and Vasilevko, V. (2016) Experimental Hypertension Increases Spontaneous Intracerebral Hemorrhages in a Mouse Model of Cerebral Amyloidosis. Journal of Cerebral Blood Flow & Metabolism, 36, 399-404. [Google Scholar] [CrossRef] 
[7] Schlunk, F. and Greenberg, S.M. (2015) The Pathophysiology of Intracerebral Hemorrhage Formation and Expansion. Translational Stroke Research, 6, 257-263. [Google Scholar] [CrossRef] [PubMed]
[8] Riveralara, L., Murthy, S.B., Nekoovaghttak, S., Ali, H., McBee, N., Dlugash, R., et al. (2018) Influence of Bleeding Pattern on Ischemic Lesions after Spontaneous Hypertensive Intrac-erebral Hemorrhage with Intraventricular Hemorrhage. Neurocritical Care, 29, 180-188.
[9] Han, F.L., Zhang, G.L., Wu, S.G., Zhou, Z.W. and Han, X.P. (2016) Efficacy of Small Bone Window Craniotomy and Large Bone Flap Crani-otomy in the Treatment of Hypertensive Cerebral Hemorrhage. Prog Mod Biomed, 16, 6542- 6545.
[10] Gregson, B.A., Broderick, J.P., Auer, L.M., Batjer, H., Chen, X.C., Juvela, S., et al. (2012) Individual Patient Data Subgroup Me-ta-Analysis of Surgery for Spontaneous Supratentorial Intracerebral Hemorrhage. Stroke, 43, 1496-1504. [Google Scholar] [CrossRef] 
[11] 毛洋明, 沈洲明. 69例重症高血压脑出血患者行大骨瓣开颅术的临床疗效[J]. 中国医药指南, 2015, 13(14): 130-131.
[12] 刘宏浩, 少雄, 黄程, 李毅, 李毅毅. 不同手术时机治疗高血压脑出血的对比分析研究[J]. 重庆医学, 2014, 43(22): 2925-2927.
[13] 司金春, 肖志强, 许志杰, 申明峰. 颞部小骨窗血肿清除术与传统大骨瓣开颅治疗基底节区高血压性脑出血合并脑病的疗效对比[J]. 中国医师杂志. 2015, 17(1): 106-108.
[14] Zhang, H.Z., Li, Y.P., Yan, Z.C., Wang, X.D., She, L., Wang, X.D., et al. (2014) Endoscopic Evacuation of Basal Ganglia Hemorrhage via Keyhole Approach Using an Adjustable Cannula in Comparison with Craniotomy. BioMed Research International, 2014, Article ID: 898762. [Google Scholar] [CrossRef] [PubMed]
[15] Zhang, T., Zou, H.S. and Chen, W.Q. (2011) A Comparative Study of Therapeutic Effects of Small Bone Flap Craniotomy and Traditional Craniotomy in Patients with Hypertensive Cerebral Hemorrhage. Chinese Journal of Neuromedicine, 10, 953-954.
[16] Laiwattana, D., Sangsawang, B. and Sangsawang, N. (2014) Primary Multiple Simultaneous Intracerebral Hemorrhages between 1950 and 2013: Analysis of Data on Age, Sex and Outcome. Cerebrovascular Diseases Extra, 4, 102-114.
[17] Liu, S. (2014) Comparison of Curative Effects of Small Bone Window Hematoma Evacuation and Craniotomy Accompanied by Cranioplasty. Contemp Med, 105-106. [Google Scholar] [CrossRef] [PubMed]
[18] 许金仙, 廖佳奇. 高压氧联合三级康复训练对老年高血压基底节区脑出血预后、生存质量及心理的影响[J]. 中国老年学杂志. 2016, 36(12): 2919-2921.
[19] Chi, F.L., Lang, T.C., Sun, S.J., Tang, X.J., Xu, S.Y., Zheng, H.B., et al. (2014) Relationship between Different Surgical Methods, Hemor-rhage Position, Hemorrhage Volume, Surgical Timing, and Treatment Outcome of Hypertensive Intracerebral Hemor-rhage. World Journal of Emergency Medicine, 5, 203-208. [Google Scholar] [CrossRef] [PubMed]
[20] Jia, Z., Mohammed, W., Qiu, Y., Hong, X. and Shi, H. (2014) Hypertension Increases the Risk of Cerebral Microbleed in the Territory of Posterior Cerebral Artery: A Study of the Association of Microbleeds Categorized on a Basis of Vascular Territories and Cardiovascular Risk Factors. Journal of Stroke and Cerebrovascular Diseases, 23, e5-e11. [Google Scholar] [CrossRef] [PubMed]
[21] Hwang, B.Y., Bruce, S.S., Appelboom, G., Piazza, M.A., Carpenter, A.M., Gigante, P.R., et al. (2012) Evaluation of Intraventricular Hemorrhage Assessment Methods for Predicting Outcome Following Intracerebral Hemorrhage. ournal of Neurosurgery, 116, 185-192. [Google Scholar] [CrossRef] 
[22] Wang, W.H., Hung, Y.C., Hsu, S.P., Lin, C.F., Chen, H.H., Shih, Y.H., et al. (2015) Endoscopic Hematoma Evacuation in Patients with Spontaneous Supratentorial Intracerebral Hemor-rhage. Journal of the Chinese Medical Association, 78, 101-107. [Google Scholar] [CrossRef] [PubMed]
[23] Wang, Z.F., Liu, F., Liao, D.G. and Zhang, T.Y. (2005) Endo-scopic Surgery for Hypertensive Cerebral Hemorrhage. Journal of Central South University, 30, 424-426.
[24] Cho, D.Y., Chen, C.C., Chang, C.S., Lee, W.Y. and Tso, M. (2006) Endoscopic Surgery for Spontaneous Basal Ganglia Hemorrhage: Comparing Endoscopic Surgery, Stereotactic Aspiration, and Craniotomy in Noncomatose Patients. Surgi-cal Neurology, 65, 547-556. [Google Scholar] [CrossRef] [PubMed]
[25] Chan, E., Anderson, C.S., Wang, X., Arima, H., Saxena, A., Moullaali, T.J., et al. (2015) Significance of Intraventricular Hemorrhage in Acute Intracere-bral Hemorrhage: Intensive Blood Pressure Reduction in Acute Cerebral Hemorrhage Trial Results. Stroke, 46, 653-658. [Google Scholar] [CrossRef] 

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