摘要
目的对比分析大骨瓣开颅术、小骨窗血肿清除术及定向软通道吸引术治疗高血压脑出血的效果。方法将90例高血压脑出血患者随机分为大骨瓣开颅术组(A组)、小骨窗血肿清除术组(B组)、定向软通道吸引术组(C组)各30例。比较各组手术时间、住院时间、再出血情况、术后神经功能改善情况及死亡率。结果临床疗效比较,A、B组差异无统计学意义(P>0.05),但C组优于A、B组(P<0.01),C组在手术时间、住院时间、术后神经功能恢复及死亡率方面均优于A组、B组(P<0.05或P<0.01)。术后再出血情况各组无显著差异。结论定向软通道吸引术的手术时间及住院时间短,术中出血少,术后再出血发生率较低,术后神经功能恢复均优于去骨瓣开颅术及小骨窗血肿清除术,死亡率低,值得临床推广使用。
Objective Comparative analysis of large trauma craniotomy with small bone window hematoma evacuation and directional soft channel aspiration for hypertensive cerebral hemorrhage effect.Methods 90 patients with hypertensive intracerebral hemorrhage patients were randomly divided into two large trauma craniotomy group（A）,small bone window hematoma evacuation group（B）,directed soft channel aspiration group（C group） of the 30 cases.Compare operative time,hospital stay,rebleeding,postoperative neurologic improvement and mortality.Results Comparison of clinical efficacy,A,B group difference was not statistically significant（P 0.05）,but the C group was better than the A and B group（P0.01）,C group in operative time,hospital stay,postoperative neurologic recovery and mortality rates are better than in group A,group B（P0.05 or P0.01）.Rebleeding were no significant differences.Conclusion Directional soft channel aspiration operative time and shorter hospital stay,less blood loss,postoperative bleeding a lower incidence of postoperative neurologic recovery were better than craniectomy craniotomy and small bone window hematoma evacuation The mortality rate is low,is worthy of clinical use.
出处
《中国实用医药》
2012年第31期7-9,共3页
China Practical Medicine
关键词
高血压脑出血
大骨瓣开颅血肿清除术
小骨窗开颅血肿清除术
定向软通道吸引术
hypertensive intracerebral hemorrhage
Craniotomy hematoma evacuation
Small bone window hematoma evacuation
Directional soft channel aspiration
