高血压脑出血外科治疗100例体会

The treatment experience of surgical treatment for 100 cases with hypertensive cerebral hemorrhage

目的:探讨高血压脑出血患者的外科治疗方法,分析其疗效。方法:选择100例高血压脑出血患者,随机分为A组和B组,各50例。A组采用单纯彻底清除血肿术;B组采用单纯清除血肿加去骨瓣压减术。比较两组超早期、非超早期外科治疗结果。结果:两组超早期的疗效明显优于非超早期(P<0.05);B组超早期手术疗效优于A组超早期(P<0.05)。结论:清除血肿加去骨瓣压减术对超早期脑出血患者具有较好疗效。

Objective： To investigate the surgical treatment method of hypertensive cerebral hemorrhage and analyze the clinical efficacy. Methods： 100 cases of patients with hypertensive cerebral hemorrhage were randomly divided into group A and group B, each had 50 cases. Group A was given simple completely clearance hematoma. Group B was given simple completely clearance hematoma and bone flap pressure reducing operation. The surgical results were compared between two groups. Results： The clinical efficacy of ultra-early was much better than that of nonultra-early （P0.05）. Group B was better than group A during ultra-early （P0.05）. Conclusion： Clearance hematoma and bone flap pressure reducing operation has good clinical efficacy to ultra-early hypertensive cerebral hemorrhage.