小骨窗显微开颅术与传统开颅术治疗高血压脑出血的临床疗效比较.docVIP

精品论文 参考文献 小骨窗显微开颅术与传统开颅术治疗高血压脑出血的临床疗效比较 永州市第三人民医院神经外科 湖南永州 425000 【摘 要】目的：探讨小骨窗显微开颅术和传统开颅术在高血压脑出血临床治疗中的应用效果，为高血压脑出血治疗提供理想手术方式。方法：收集2015 年2 月至2016 年2 月我院收治的高血压脑出血患者60 例，采用随机数字法分为两组，对照组（n=30）接受常规开颅术，观察组（n=30）接受小骨窗显微开颅术，比较两组患者一般手术情况、治疗前后神经功能评分和预后效果。结果：观察组患者的术中出血量、住院时间明显少于对照组，Plt;0.05；观察组患者治疗后GCS 评分和MESSS评分均明显优于对照组，Plt;0.05；观察组患者预后效果明显优于对照组，Plt;0.05。结论：小骨瓣显微开颅术在高血压脑出血治疗中具有手术创伤小、术后患者预后良好的优点，对于改善患者治疗后的神经功能具有积极作用，是治疗高血压脑出血的理想治疗方式，值得推广应用。 【关键词】小骨窗；显微开颅术；高血压；脑出血 Small bone window microscopic open-brain surgery and traditional open-brain surgery clinical curative effect comparison for the treatment of hypertensive cerebral hemorrhage TAN Qing-bin，JIANG Zun-bo，LEI Li，YAN Qiang-min，XIANG Hai-bo （Department of Neurosurgery，the Third Peoples Hospital of Yongzhou，Yongzhou 425000，Hunan，China） [Abstract] objective：to study the small bone window microscopic open-brain surgery and traditional open-brain surgery effect of application in the clinical treatment of hypertensive cerebral hemorrhage，provide ideal operation method in the treatment of hypertensive cerebral hemorrhage. Methods：collected in February 2015 to February 2016，our hospital of 60 patients with hypertension cerebral hemorrhage were divided into two groups by random number method，the control group （n = 30）for routine open-brain surgery，observation group （n = 30）accept small bone window microscopic open-brain surgery，compared two groups of patients in general surgery，neurological function score before and after the treatment and prognosis. Results：the observation group of patients with intraoperative blood loss，hospital stay，significantly less than the control group，P lt; 0.05；Observation group after treatment in patients with GCS score and MESSS score were significantly better than the control group，P lt; 0.05；Effect the prognosis of patients with observation group is better than control group，P lt; 0.05）. Conclusion：the small bone flap of microscopic open-brain surgery in the treatment of hypertension cerebral hemor