微创术和小骨窗开颅术治疗高血压脑出血临床疗效分析

Analysison the effect use of micro-invasive surgical therapy for intracranial hematoma in patients with hypertensive cerebral on hemorrhage

目的探讨微创治疗高血压性脑出血的疗效。方法高血压脑出血患者70例,随机分为小骨窗组及微创组。小骨窗组予以小骨窗开颅术治疗,微创组予以微创颅内血肿清除术治疗,观察并比较2组间的疗效。结果微创组在血肿清除率、病死率以及神经功能恢复方面均明显优于对照组(P<0.05)。结论微创颅内血肿清除术治疗高血压脑出血是一种较好的方法,能明显减少患者的病死率,并能有效改善患者的神经功能缺损程度。

Objective To evaluate the micro-invasive surgical therapy for intracranial hematoma in patients with hypertensive cerebral hemorrhage. Methods Seventy patients with hypertensive cerebral hemorrhage were treated. They were randomly divided into ossicle fenestration control group by microsurgery through a small skull window,and test group by micro-invasive surgical therapy. Observation was made to compare the curative effects between the two groups. Results The micro-invasive surgical therapy was evidently superior to the conservative one in death rate and nerve functions recovery（P〈0. 05）. Conclusion The micro-invasive surgical therapy is a good method to patients with hypertensive cerebral hemorrhage. It can reduce the mortality and facilitate the recovery of neural functions considerably.