小骨窗开颅术与大骨瓣开颅术治疗高血压脑出血的疗效观察

Observing the Effection of the Small Bone Window Craniotomy and Large Trauma Craniotomy in the Treatment of Hypertensive Intracerebral Hemorrhage

目的探究大骨瓣开颅术与小骨窗开颅术治疗高血压脑出血的临床疗效。方法将我院从2009年1月至2012年5月收治的高血压脑出患者90例随机分为实验组45例与对照组45例,实验组行小骨窗开颅清除血肿,对照组行大骨瓣开颅清除血肿。观察比较实验组与对照组患者病死率、术后并发症发生率及手术总有效率。结果实验组手术后死亡是2.2%,并发症的发生率是13.3%,都明显小于对照组的8.9%及31.1%(P<0.05),实验组的手术总有效率是95.6%,明显大于对照组的62.2%(P<0.05),实验组的临床疗效明显好于对照组(P<0.05)。结论小骨窗开颅术治疗高血压脑出血相对于大骨瓣开颅术的优点有病死率、术后并发症发生率低,且其创伤小,值得在临床推广应用。

Objective Explore the clinical efficacy of the large trauma craniotomy with small bone window craniotomy for treatment of hypertensive intracerebral hemorrhage.Methods Admitted to our hospital from January 2009 to May 2012 hypertensive brain out of 45 cases of patients 90 cases were randomly divided into experimental group and control group 45 cases,the experimental group small window of skull to remove the hematoma,the large bone of the control group were flap craniotomy to remove the hematoma.Efficient observation and comparison of the experimental group and control group patient mortality,the incidence of postoperative complications and surgical.Results Experimental group died after surgery is 2.2%,the incidence of complications was 13.3%,significantly less than 8.9% and 31.1% of the control group（P0.05）,surgery of the experimental group,the total efficiency is 95.6%,significantly higher than62.2% of the control group（P0.05）,the clinical efficacy of the experimental group was significantly better than the control group（P0.05）.Conclusions Small bone window craniotomy for hypertensive cerebral hemorrhage compared to the advantages of large trauma craniotomy mortality,low incidence of postoperative complications,and trauma,it is worth in the clinical application.