小骨窗显微手术与微创引流治疗高血压基底节出血对照分析

Small window craniotomy microsurgical operation and minimally invasive drainage in the treatment of hypertensive basal ganglia hemorrhage control analysis

目的探讨小骨窗显微手术与微创引流在治疗高血压基底节出血中的效果及临床应用意义。方法将80例高血压脑出血患者随机分为对照组40例(采用微创引流术),观察组40例(采用小骨窗显微手术)观察两组患者治疗后Glasgow评分、6个月后随访日常生活能力(ADL)分级,血肿清除量、死亡率、并发症发生率。结果两组患者治疗后Glasgow评分、ADL分级、血肿清除量比较(t=5.12、5.34、5.66,P<0.05,差异有统计学意义);两组死亡率、并发症发生率比较(χ2=2.12、3.11,P>0.05,差异无统计学意义)。结论小骨窗显微手术与微创引流治疗高血压基底节区脑出血同样具有创伤小,术后神经功能恢复良好,但骨窗显微手术显露更为满意,止血更为可靠。

Objective To explore the microsurgical operation of small bone window and minimally in- vasive drainage and its clinical significance in the treatment of hypertensive basal ganglia hemorrhage in effect. Methods 80 cases of patients with hypertensive cerebral hemorrhage were randomly divided into control group （40 cases treated by minimally invasive drainage）, the observation group 40 cases （by small craniotomy micro- surgical operation） were observed in two groups of patients after treatment, Glasgow score, after 6 months of fol- low-up activities of daily living （ADL） classification, hematoma volume, mortality, complication rate. Results Glasgow two groups after treatment, ADL score, hematoma volume grading （t = 5.12, 5.34, 5. 66, P 〈 0. 05, with a significant difference） mortality, complication rate comparison （X2 =2. 12, 3.11, P 〉0. 05, no significant difference）. Conclusion Small craniotomy microsurgical operation and minimally invasive drainage treatment also has small trauma of hypertensive cerebral hemorrhage in basal ganglia, nerve function recovered well after operation, but the bone window microscopic operation revealed more satisfactory hemostasis, more reliable.