脑出血治疗中微创和开颅手术治疗对比分析.docVIP

脑出血治疗中微创和开颅手术治疗对比分析 　　[摘要] 目的 对比分析在治疗脑出血中采取开颅手术与微创手术的临床效果与价值。方法 采取随机数字表法对方便选取的该院2016年3月―2017年3月期间收治的64例脑出血患者进行随机分组，均分为参照组（n=32）与实验组（n=32），将采取开颅手术患者作为研究的参照组，将采取微创手术患者作为研究的实验组，分析对比两组脑出血患者经不同手术后住院时间、手术时间、术中出血量、不良反应发生率以及治疗总有效率。 结果 实验组脑出血患者临床治疗总有效率96.87%、不良反应发生率6.25%、住院时间（16.54±2.22）d、术中出血量（33.54±5.45）mL、手术时间（40.21±2.35）min等指标显著优于参照组组数据，差异有统计学意义（P0.05）。结论 将开颅手术与微创手术应用在脑出血治疗中均可以获得一定效果，但是微创手术效果更加显著，值得广泛应用。 　　[关键词] 脑出血；微创手术；开颅手术：疗效 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2017）09（c）-0099-03 　　Analysis of Comparison of Minimally Invasive and Craniotomy Treatment of Cerebral Hemorrhage 　　DUAN Jia-bin 　　Department of Neursurgery， Baoshan People’s Hospital， Baoshan， Yunnan Province， 678000 China 　　[Abstract] Objective To compare and analyze the clinical effect and value of minimally invasive and craniotomy treatment of cerebral hemorrhage. Methods 64 cases of patients with cerebral hemorrhage admitted and treated in our hospital from March 2016 to March 2017 were randomly selected and divided into two groups with 32 cases in each， the control group and the experimental group were respectively treated with craniotomy and minimally invasive surgery， and the length of stay， operation time， intraoperative bleeding amount， incidence rate of adverse reactions and total treatment effective rate were compared between the two groups. Results The total clinical treatment effective rate， incidence rate of adverse reactions， length of stay， intraoperative bleeding amount and operation time in the experimental group were respectively 96.87%， 6.25%， （16.54±2.22）d， （33.54±5.45）mL， （40.21±2.35）min， which were obviously better than those in the control group， and the differences were statistically significant（P0.05）. Conclusion Minimally invasive and craniotomy treatment of cerebral hemorrhage can obtain a certain effect， but the effect of minimally invasive surgery is more obvious， which is worth wide application. 　　[Key words] Cerebral hemorrhage； Minimally invasive surgery； Craniot