摘要
Abstract
Objective To compare the clinical effects of skull drilling and small bone window craniotomy in the treat‐ment of hypertensive intracerebral hemorrhage in basal ganglia(HBGH) .Methods One hundred cases with HBGH in our hos‐pital from January 2013 to January 2014 were selected and divided into control group and observation group according to ran‐dom number table method ,50 cases in each group .The control group received skull drilling treatment while the observation group received small bone window craniotomy .Then general status ,clearance rate of hematoma ,recurrent rate ,mortality and occurrence rate of complications in two groups were compared and the neurological functional deficit scores (NIHSS) and activi‐ties of daily living (ADL ) were recorded during the three-month followed-up periods .Results Compared with the control group ,the observation group showed shorter operation time and hospitalization stays and less blood loss ,with statistically sig‐nificant differences(P<0.05) .The clearance rate of hematoma in the observation group were 70.0% ,significantly higher than that in the control group(P<0.05) ,however ,recurrent rate and mortality between two groups showed no statistical differ‐ences(P>0.05) .The observation group had the lower occurrence rate of complications (12% ) than control group(P<0.05) . After operation ,the NIHSS scores were significantly reduced in both two groups ,especially in the observation group ( P<0.05) .The favorable rate of ADL (Ⅰ level to Ⅲ level) was 88.0% in observation group ,obviously higher than that in control group(P<0.05) .Conclusion Compared with skull drilling ,small bone window craniotomy can more effectively remove hema‐toma ,can improve neurological function better and show better prognosis in HBGH patients ,which should be popularized in clinical practice .关键词
锥颅引流术/小骨窗开颅显微手术/高血压基底节区脑出血Key words
Skull drilling/Small bone window craniotomy/Hypertensive basal ganglia/Hemorrhage分类
医药卫生
