河北医学2017，Vol.23Issue(3)：424-427,4.DOI:10.3969/j.issn.1006-6233.2017.03.023
高血压脑出血治疗中应用超早期小骨窗微创颅内血肿清除术的疗效分析
Curative Effect of Ultra-early Small Bone Window Minimally Invasive Clear Intracranial Hematoma in Treating Hypertensive Intracerebral Hemorrhage
摘要
Abstract
Objective:To observe the clinic effect of ultra-early small bone window minimally invasive clear intracranial hematoma in treating Hypertensive intracerebral hemorrhage.Methods:103 patients with hypertensive cerebral hemorrhage were randomly divided into two groups, the observation group(n=54) were treated by small bone window minimally invasive clear intracranial hematoma, and the control group(n=49) were treated with traditional craniotomy, clinical curative effect of the 2 groups were compared after surgery.Results:The total effective rate of observation group was 88.9%, significantly different compared with the control group (71.4%) (P<0.05);The operation time of the observation group were (33.4±10.8) min, significantly lower than the control group (81.5±34.2) min (P < 0.05);The hematoma clearance rate of two groups respectively (94.3±5.2)%and(87.7±6.5)%, the observation group was significantly higher than the control group (P < 0.05);The hematoma absorption time were (5.4±1.3) d and d (6.9±1.2)d, the hospitalization days were (17.9±6.9)d and(23.3±7.2)d drespectively, observation group was significantly shorter than the control group (P < 0.05);After surgery, neurologic impairment of all patients were improved significantly, but the neurologic impairment score of observation group was significantly lower than control group (P < 0.05);The complication incidence rate of observation group was significantly lower than the control group (P < 0.05), there was no statistically significant difference between the two groups in mortality(P > 0.05).Conclusions:Ultra-early small bone window minimally invasive clear intracranial hematoma had good effect and high efficiency to hypertensive intracerebral hemorrhage, patient had good neural functional recovery after surgery, and it also had low complication rate and high security, is worth clinical promotion.关键词
高血压脑出血/超早期/小骨窗/微创颅内血肿清除术/临床疗效Key words
Hypertensive intracerebral hemorrhage/Small bone window/Ultra-early minimally/Invasive clear intracranial hematoma/Clinic effect引用本文复制引用
孙凌云,张小强,王湘,周辉..高血压脑出血治疗中应用超早期小骨窗微创颅内血肿清除术的疗效分析[J].河北医学,2017,23(3):424-427,4.基金项目
四川省卫生和计划生育委员会科研课题,(编号:1402579) （编号:1402579）
