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高血压性小脑出血手术方式的选择

Selection of surgical Methods for hypertensive cerebellar Hemorrhage
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摘要 目的探讨不同手术方式治疗高血压性小脑出血的临床疗效。方法回顾性分析2017年1月—2019年12月本院收治的60例高血压性小脑出血患者的临床资料,根据手术方式分为对照组(30例,给予大骨瓣开颅血肿清除术)与研究组(30例,给予小骨窗显微镜手术),比较两组患者临床疗效及神经功能。结果研究组患者的临床疗效90.00%显著高于对照组的66.67%,差异显著(P<0.05)。研究组CSS、NIHSS、MMSE评分均显著优于对照组,差异显著(P<0.05)。结论高血压性小脑出血患者采用小骨窗显微镜手术治疗,可改善患者神经功能,临床疗效显著,值得临床应用。 Objective To explore the clinical efficacy of different surgical methods for hypertensive cerebellar hemorrhage.Methods The clinical data of 60 patients with hypertensive cerebellar hemorrhage admitted to our hospital from January 2017 to December 2019 were analyzed retrospectively,the patients were divided into control group(30 cases,large craniotomy hematoma clearance)and study group(30 cases,small bone window microsurgery),the clinical efficacy and neurological function were compared.Results 90.00%of the patients in the study group were significantly higher than 66.67%in the control group(P<0.05).CSS,NIHSS and MMSE scores in the study group were significantly higher than those in the control group(P<0.05).Conclusion The treatment of hypertensive cerebellar hemorrhage with small bone window microsurgery can improve the neurological function of patients with significant clinical effect,it is worthy of clinical application.
作者 王铁峰 WANG Tiefeng(Department of Neurosurgery,Hainan No.2 People's Hospital,Wuzhishan Hainan 572299,China)
出处 《临床研究》 2020年第11期5-7,共3页 Clinical Research
关键词 高血压性小脑出血 小骨窗显微镜手术 神经功能 hypertensive cerebellar hemorrhage small bone window microsurgery neurological function
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