小骨窗开颅术与骨瓣开颅术治疗高血压脑出血的疗效比较

Small bone window craniotomy and craniotomy in treatment of hypertensive cerebral hemorrhage compared

目的比较小骨窗开颅术与骨瓣开颅术两种手术方法在治疗高血压基底节区脑出血的疗效。方法选择高血压基底节区脑出血患者116例，出血量〉30ml，分别采用小骨窗开颅及骨瓣开颅术。结果小骨窗组患者的有效率、功能恢复情况、病死率均优于骨瓣组，再出血率、急性期并发症的发生率无明显差异。结论小骨窗开顿术及骨瓣开颅术治疗高血压脑出血的疗效相当，临床中可根据具体情况选择手术方法。

Objective To compare the small window in the treatment of hypertensive cerebral hemorrhage craniotomy and bone flap craniotomy with two surgical methods Methods Selet hypertensive cerebral hemorrhage in 116 cases, hematoma volume〉 30ml, respectively,were used a small window of skull and bone flap craniotomy. Results in patients with small bone window of an efficient, functional recovery and mortality are better than the flap group, rebleeding rate, the incidence of acute complications, no significant difference. Conclusion small bone window craniotomy and craniotomy in treatment of hypertensive cerebral hemorrhage rather clinical situation can be selected according to surgical methods.