微创穿刺术及小骨窗开颅术治疗高血压脑出血疗效及并发症比较分析.doc

微创穿刺术及小骨窗开颅术治疗高血压脑出血疗效及并发症比较分析血；微创穿刺术；小骨窗开颅术；疗效；并发症 Comparison of Minimally Invasive Puncture and Small Bone Window Craniotomy in the Treatment of Hypertensive Intracerebral Hemorrhage YANG Yong-hong，ZHAO Wang，HE Xue-nong （Department of Neurology，Affiliated Yongchuan Hospital，Chongqing Medical University，Chongqing 402160，China） Abstract：Objective To compare the efficacy and complications of minimally invasive puncture and small bone window craniotomy in treatment of hypertensive cerebral hemorrhage incidence and provide scientific basis for clinical prevention and treatment.Methods 110 patients were randomly divided into the minimally invasive surgery of 55 cases of hypertensive cerebral hemorrhage patients as treatment group，the control group was 55 cases with small bone window craniotomy hypertensive cerebral hemorrhage，comparing its curative effect and serious complications.Results Patients in the treatment group，the average hospitalization time was shorter than the control group，the total effective rate in treatment group than the control group， while the patients in the treatment group mortality rate lower than the control group，the difference was statistically significant（P0.05）.Conclusion Minimally invasive puncture in the treatment of hypertensive cerebral hemorrhage is better than small bone window craniotomy. 　　Key words：Hypertensive intracerebral hemorrhage；Minimally invasive puncture；Small bone window craniotomy；Curative effect；Complications 高血压脑出血（Hypertensive intracerebral hemorrhage，HICH）在日常生活中是人们较常见病危重病，它具有高发病率、高死亡率及高致残率的特点，它严重危害民众生命安全。目前各医院采用不同的手术方式，本文对我科从2000年5月至今采用微创颅内血肿穿刺技术治疗240例高血压脑出血患者作为治疗组与我院神经外科230例高血压脑出血应用小骨窗开颅术治疗作为对照组，对这两种方法的疗效及严重并发症进行对比分析 1 资料与方法 1.1一般资料 随机选取110例高血压脑出血患者应用微创术为治疗组55例，其中男45例，女10例，年龄40～90岁，平均年龄（61.5±4.42）岁；具有意识障碍25例，偏瘫50例；出血部位：基底节区35例，脑叶15例，丘脑5例，出血量30～60 ml。55例高血压脑出血患者应用小骨窗开颅术治疗作为对照组，其中男42例，女13例，年龄41～78岁，平均年龄（59.5±3.17）岁；具有意识障碍20例，偏瘫49例，失语50例；出血部位：基底节区34例，脑叶14例，丘脑7例，出血量30～60 ml。排除标准：出血量60 ml患者；有脑干受压体征及严重