超早期小骨窗开颅显微手术治疗高血压脑出血348例的临床分析

The Clinical Analysis of Earlier Period Craniotomy with Small Bone Flap Approach Microsurgical Treatment for Hypertensive Intracerebral Hemorrhage

目的:探讨超早期小骨窗开颅显微手术治疗高血压脑出血的临床疗效。方法:将396例高血压脑出血随机分为两组,观察组348例,采用超早期小骨窗开颅显微手术治疗。对照组48例,采用保守药物治疗,比较病死率、两组血肿清除时间、日常生活活动能力(ADL)情况。结果:观察组死亡率为16.67%。对照组死亡率为29.17%,两组比较,差异有统计学意义(P<0.05)。观察组血肿清除时间及日常生活活动能力(ADL)情况均明显优于对照组(P<0.05)。结论:超早期小骨窗开颅显微手术能有效清除血肿、降低病死率、改善病后日常生活能力,减少并发症,值得临床推广使用。

Objective To evaluate the effectiveness of craniotomy withsmall bone flap approach minimally invasive surgery for hypertensive hemorrhag.Methods 396 hypertensivc cerebral hemorrhagc patients were randomly divided into two groups. 348 patients in the treated group were treated with craniotomy withsmall bone flap approach.48 patients in the control group were treated with drug treatment. The case fatality rate, the time of cleaning hematoma,the evaluation of acute nerve function amelioration by SSS and the activities of daily living （ADL） were compared.Results The case fatality rate of the treated group was 16.67%,which was less than 29.17% of the control group （P〈0.05） .And the time of cleaning hematoma,the nerve function amelioration and the activities of daily living in the treated group were superior to the control group （P〈0.05） .Conclusion craniotomy withsmall bone flap approach can evidently clean hematoma,,improve nerve function amelioration and theADL and reduce the complications.lt deserves clinical use.