摘要
目的观察小骨窗开颅显微镜下治疗高血压性脑出血的临床疗效。方法入选75例高血压性脑出血患者,按入院顺序随机分为硬通道组、软通道组和小骨窗开颅组,每组25例。观察治疗后三组患者血肿清除量,入出院时采用临床格拉斯哥昏迷量表(GCS)评分和治疗后6个月采用格拉斯哥结局量表(GOS)评定预后的情况。结果小骨窗开颅显微镜下治疗组的血肿清除量、入出院时临床GCS评分及治疗后6个月GOS评定预后的情况比硬通道组、软通道技术组疗效明显,差异具有统计学意义(P<0.05)。结论小骨窗开颅显微镜下治疗高血压性脑出血具有较好的临床疗效。
Objective To explore the clinical effect of small bone window craniotomy on hypertensive intracerebral hemorrhage.Method 75 patients with hypertensive cerebral hemorrhage were randomly divided into soft tube group,hard tube group and small bone window group,with 25 cases in each group.Amount of hematoma evacuated,Glasgow coma scale（GCS） score of admission and Glasgow outcome scale（GOS） score 6 months after treatment were used to evaluate therapeutic effect.Result Hematoma was evacuated more thoroughly in small bone window group than in the other two groups.GCS score of admission and GOS score 6 months after treatment were much better in small bone window group than those in the other two groups（P0.05）.Conclusion The curative effect of microsurgery through a small skull window is more satisfactory in treating hypertensive intracerebral hemorrhage.
出处
《微创医学》
2011年第2期118-121,共4页
Journal of Minimally Invasive Medicine
关键词
高血压
脑出血
微创
显微外科
Hypertension
Cerebral hemorrhage
Minimally invasion
Microsurgery
