微创穿刺术与小骨窗开颅术治疗高血压脑出血疗效与并发症比较分析.docVIP

微创穿刺术与小骨窗开颅术治疗高血压脑出血疗效与并发症比较分析 　　摘要：目的 比?^分析微创穿刺术与小骨窗开颅术治疗高血压脑出血的疗效及严重并发症的发生率，为临床预防及治疗提供科学的依据。方法 随机将110例分成采用微创穿刺术高血压脑出血55例患者作为治疗组，对照组为55例高血压脑出血采用小骨窗开颅术者，对其疗效及严重并发症进行比较分析。结果 治疗组患者平均住院时间短于对照组，治疗组患者总有效率比对照组高，而治疗组患者死亡率比对照组低，差异有统计学意义（P0.05）。结论 微创穿刺术治疗高血压脑出血优于小骨窗开颅术。 　　关键词：高血压脑出血；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