微创钻孔引流术与小骨窗开颅术治疗中等量基底核区高血压脑出血的疗效比较

The curative effect comparison of the minimally invasive trepanation and drainage and the small bone window craniotomy in the treatment of moderate amounts of hypertensive cerebral hemorrhage in basal ganglia

目的:比较微创钻孔引流术与小骨窗开颅术治疗中等量基底核区高血压脑出血的疗效。方法:对采用微创钻孔引流术(钻孔引流组)25例和小骨窗开颅术(小骨窗组)23例中等量基底核区高血压脑出血患者的临床资料进行回顾性分析。结果:钻孔引流组患者的手术时间、术中出血量和住院时间均少于小骨窗组(P<0.05～P<0.01)。2组的并发症总发生率、治疗效果和远期预后良好率的差异均无统计学意义(P>0.05)。结论:微创钻孔引流术和小骨窗开颅术治疗中等量基底核区高血压脑出血均具有较好的疗效,前者手术时间、术中出血量和住院时间均少于后者。

Objective： To compare the effects of the minimally invasive trepanation and drainage and the small bone window craniotomy in the treatment of moderate amounts of hypertensive cerebral hemorrhage in basal ganglia.Methods： Forty-eight patients with moderate amounts of hypertensive cerebral hemorrhage in basal ganglia were treated with minimally invasive trepanation and drainage（trepanation and drainage group,25 cases） and small bone window craniotomy（small bone window group,23 cases）,respectively.Their clinical data were retrospectively analyzed.Results： The time of operation and hospital stays and peri-operative bleeding in trepanation and drainage group were significantly lower than those in small bone window group（P 0.05 to P 0.01）.The differences of the overall incidence of complications,curative effects and good long-term prognosis rate between two groups had no statistical significance（P 0.05）.Conclusions： The curative effects of the minimally invasive trepanation and drainage and the small bone window craniotomy in the treatment of moderate amounts of hypertensive cerebral hemorrhage in basal ganglia are good.The time of operation and hospital stays and peri-operative bleeding in trepanation and drainage group are lower than those in small bone window group.