摘要
目的探讨三种手术术式治疗高血压脑出血的临床效果。方法将收治的96例高血压脑出血患者,应用数字表法随机分为A、B、C组,每组各32例。A组采用去骨瓣开颅术治疗;B组采用小骨窗开颅术治疗;C组采用微创穿刺清除术治疗。比较三种术式的临床效果。结果 C组总有效率显著高于A、B组,A组、B组总有效率差异无统计学意义(P>0.05)。C组术中出血量、患者住院时间显著少于A、B组,差异有显著性(P<0.05)。A、B组术中出血量、患者住院时间差异无显著性(P>0.05)。C组与A、B组手术时间差异无统计学意义(P>0.05)。结论微创颅内血肿清除术治疗高血压脑出血,血肿清除效果好,对患者损伤小,利于患者恢复,值得临床推广应用。
Objective To study the clinical effect of the three surgery procedures in the treatment of hypertensive cerebral hemorrhage. Methods 96 patients with hypertension cerebral hemorrhage were randomly divided into A, B and C group. A group was treated with bone flap craniotomy treatment, group B with small bone window craniotomy treatment and group C with minimally invasive puncture clear surgical treatment. The clinical effect of three kinds of operation was observed. Results The total effective rate of group C was significantly higher than that of group A and group B. The total effective rate of group A and group B was not statistically different （P〉0.05）. The amount of bleeding and length of hospital stay of group C was significantly less than that of group A and group B （P〈0.05）. The operation time of group C, groupA and group B was not statistically different （P〉0.05）. Conclusion It is effective to treated hyper- tensive cerebral hemorrhage with minimal invasive intracranial hematoma removal technique.
出处
《西部医学》
2013年第10期1497-1498,1501,共3页
Medical Journal of West China
关键词
微创穿刺清除术
小骨窗开颅术
去骨瓣开颅术
高血压
脑出血
Minimally invasive puncture of operation
Small bone window craniotomy
Bone flap craniotomy
Hypertension
Cerebral hemorrhage
