摘要
目的探讨微创颅内血肿清除术对脑出血患者的治疗效果。方法选取我院收治的脑出血患者200例,根据不同治疗方法分为观察组和对照组,各100例。观察组行微创颅内血肿清除术,对照组行小骨窗开颅血肿清除术,观察两组患者手术前、后的NIHSS评分及手术时间、术中出血量、住院时间、治疗效果及并发症发生情况。结果术后观察组NIHSS评分[(4.33±1.22)分]明显低于对照组[(7.56±1.43)分](P<0.05),且手术时间、术中出血量、住院时间均优于对照组(P<0.05),治疗总有效率高于对照组(P<0.05);观察组和对照组的并发症总发生率分别为11.00%和45.00%,组间差异显著(P<0.05)。结论微创颅内血肿清除术的疗效优于小骨窗开颅血肿清除术,患者预后较好,值得推广。
Objective To investigate the therapeutic effect of minimally invasive intracranial hematoma evacuation on cerebral hemorrhage. Methods Two hundred patients with cerebral hemorrhage treated in our hospital were divided into observation group and control group according to different treatment methods, with 100 cases in each group. The observation group was treated with minimally invasive intracranial hematoma, while the control group was treated with small bone window craniotomy for intracerebral hematomas. The NIHSS scores before and after operation, operation time, intraoperative blood loss, hospitalization time, treatment effect and incidence of complication were observed in the two groups. Results After treatment, in the observation group, the NIHSS score was （4.33±1.22）, which was significantly better than （7.56±1.43） in the control group （P〈0.05）; the operative time, intraoperative blood loss and hospital stay were better than those in the control group （P〈0.05）; the total effective rate was significantly higher than that in the control group （P〈0.05）. The total incidence of complications in the observation group and the control group were 11.00% and 45.00% respectively, the difference was significant （P〈0.05）. Conclusion The minimally invasive intracranial hematoma evacuation has better effect than that of the small bone window, with better prognosis, which is worthy of promotion.
出处
《临床医学研究与实践》
2017年第24期72-73,共2页
Clinical Research and Practice
关键词
微创
脑出血
血肿清除术
minimally invasive
cerebral hemorrhage
hematoma evacuation
