摘要
目的探讨显微外科小骨窗开颅术治疗高血压脑出血的临床疗效和术后并发症。方法选取2008年1月至2012年6月收治的102例高血压脑出血患者,其中观察组48例,采取小骨窗开颅显微镜下治疗,对照组54例采用常规骨瓣开颅治疗。对比观察两组临床疗效和术后并发症。结果两组患者的手术时间、再出血以及血肿清除等指标比较有统计学意义(P<0.01或<0.05),观察组显著优于对照组;观察组术后并发症(颅内感染、脑梗死等)总发生率明显低于对照组(P<0.01);观察组手术治疗后总有效率为89.6%,明显高于对照组的55.6%,两组比较有统计学意义(P<0.01)。结论显微外科小骨窗开颅术治疗高血压脑出血具有明显疗效,术后并发症的发生率明显降低,值得临床广泛推广应用。
Objective To explore the clinical efficacy and the postoperative complications of small kull window craniotomy in the microsurgical treatment of hypertensive intracerebral hemorrhage. Methods Clinical data of 102 pa- tients with hypertensive intracerebral hemorrhage were selected to study. These patients were hospitalized from Janu- ary, 2008 to June,2012 and they were divided into the observation group （48 cases） and the control group（54 cases）. The observation group were given microsurgery through skull window craniotomy, while the control group underwent routine bone flap eraniotomy. Results There was statistical significance in the difference of the operation time and in- dexes of rebleeding and hematoma clearance of the two groups（ P〈0.01 or 〈0.05） ,and such indexes of the observa- tion group were significantly better than those of the control group. The total incidence of postoperative complications （intracranial infection and cerebral infarction, etc. ） of the observation group was obviously lower than that of the control group（ P d0.01 ）. After the treatment, the total effective rate of the observation group was 89.6 %, signifi- cantly higher than that （55.6 %） of the the control group（ P 〈0.01）. Conclusion Microsurgery of small skull win- dow craniotomy is effective in treating hypertensive cerebral hemorrhage. It can significantly reduce the incidence of postoperative complications and is worth widely popularizing and applying extensively in clinic.
出处
《右江医学》
2013年第2期176-178,共3页
Chinese Youjiang Medical Journal
关键词
显微外科
小骨窗开颅术
高血压脑出血
临床疗效
microsurgery, small skull window craniotomy hypertensive intracerebral hemorrhage clinical efficacy.
