高血压脑出血应用小骨窗显微开颅术与骨瓣开颅术治疗效果对照研究.docVIP

高血压脑出血应用小骨窗显微开颅术与骨瓣开颅术治疗效果对照研究 　　[摘要] 目的 高血压脑出血应用小骨窗显微开颅术治疗的疗效。 方法 选取82例于2013年8月―2014年8月期间该院接收的高血压脑出血患者，将入选者随机分为对照组（给予小骨窗显微开颅术治疗，n=41）与观察组（给予骨瓣开颅术治疗，n=41），观察两组治疗效果。结果 观察组的术中输血量、住院时间以及手术时间分别为（84.15±32.17）mL、（6.5±0.90）d、（2.1±0.60）h，观察组术中失血量、住院时间、手术时间均显著低于对照组（P0.05），术后1周，观察组GCS评分显著上升，上升至（13.91±1.62）分，显著优于对照组（P0.05）； 观察组并发症发生率以及病死率分别为12.2%、2.4%，观察组术后病死率及并发症发生率低于对照组（P0.05）。结论 高血压脑出血采取小骨显微开颅术治疗可降低术后病死率，提高预后，且具有微创特点，具有推广价值。 　　[关键词] 效果；骨瓣开颅术；高血压脑出血；小骨窗显微开颅术 　　[中图分类号] R651 [文献标识码] A [文章编号] 1674-0742（2017）01（c）-0047-04 　　Comparative Research on Treatment Effect of Small Bone Window Microscopic Craniotomy and Craniotomy with Bone Flap for Hypertensive Cerebral Hemorrhage 　　LAN Liang-bing 　　Department of Neurosurgery， Wanyuan Central Hospital， Dazhou， Sichuan Province， 636350 China 　　[Abstract] Objective To research the curative effect of small bone window microscopic craniotomy and craniotomy with bone flap for hypertensive cerebral hemorrhage. Methods 82 cases of patients with hypertensive cerebral hemorrhage admitted and treated in our hospital from August 2013 to August 2014 were selected and randomly divided into two groups with 41 cases in each， the control group were treated with small bone window microscopic craniotomy， while the observation group were treated with craniotomy with bone flap， and the treatment effect of the two groups was observed. Results The intraoperative transfusion amount， length of stay and operative time in the observation group were respectively（84.15±32.17）mL，（6.5±0.9）d，（2.1±0.6）h， and the intraoperative bleeding amount， length of stay and operative time in the observation group were obviously lower than those in the control group（P0.05）， and at 1 week after operation， the GCS score in the observation group obviously increased to （13.91±1.62）scores， which was obviously better than that in the control group， P 　　[Key words] Effect； Craniotomy with bone flap； Hypertensive cerebral hemorrhage； Small bone window microscopic craniotomy 　　近年