摘要
目的观察颅内血肿小骨窗开颅手术治疗高血压性脑出血的临床疗效。方法将180例高血压性脑出血患者随机分为小骨窗开颅组(观察组)及传统大骨瓣开颅方法组(对照组)。对照组采用传统大骨瓣开颅手术方法进行治疗,观察组采用小骨窗开颅微创手术方法进行治疗。结果观察组总有效率为67.8%,死亡率为22.2%;对照组总有效率为38.9%,死亡率为42.2%;组间比较有显著性差异(P<0.01)。观察组治疗后1d即有神经功能评分的明显降低,在第1、7、14和21天与对照组相比较,均有显著性差异(P<0.01)。结论采用小骨窗开颅微创手术具有创伤小、操作简单、失血量少、降低患者的住院费用、术后恢复快等优点,适用于有CT条件的基层医院推广应用。
Objective To observe the efficacy of small bone window craniotomy for hypertensive cerebral hemorrhage. Methods 180 cases of hypertensive intracerebral hemorrhage patients were randomly divided into small bone window craniotomy （the observation group） and the traditional method of large trauma craniotomy group（the control group）. The control group used craniotomy surgical treatment, observation group used small bone window craniotomy. Results The observation group＇s total efficiency was 67.8%, the mortality rate was 22.2%. The control group＇s total efficiency was 38.9%, the mortality rate was 42.2%,the difference was significant （P〈0.01）; There was a significant decrease after treatment of one day at the nerve function scored. In 1 day,7 days, 14 days and 21 days compared with the control group,there was significant difference （P〈0.01）. Conclusion Small bone window craniotomy with minimally invasive surgery has advantages such as less trauma, simple operation, less blood loss, low hospital fees, quick recovery after surgery, and is suitable for the primary hospital.
出处
《中国现代医生》
2008年第6期49-50,共2页
China Modern Doctor
关键词
颅内血肿
高血压性脑出血
小骨窗
Intracranial hematoma
Hypertensive cerebral hemorrhage
Small bone window
