小骨窗开颅术和骨瓣开颅术对高血压脑出血的疗效比较

Study of effects of small bone window craniotomy surgery and craniotomy surgery in treating hypertensive intracerebral hemorrhage

目的 观察小骨窗开颅术和骨瓣开颅术治疗高血压脑出血的临床疗效.方法 将54例高血压脑出血患者分为两组,第一组采用小骨窗开颅术治疗,第二组采用骨瓣开颅手术治疗.观察两组患者手术时间、术中出血量等情况,并对两组患者手术前后进行神经功能缺损评分.结果 第一组手术时间、术中出血量均低于第二组（P＜0.05）;第一组患者治疗1个月后神经功能缺损评分明显低于第二组（P＜0.05）;第一组患者治疗总有效率为88.9％,明显高于第二组的66.7％（P＜0.05）.结论 小骨窗开颅术治疗高血压脑出血优于骨瓣开颅术治疗.

Objective Observe the effects of small bone window craniotomy surgery and eraniotomy surgery in treating hypertensive intracerebral hemorrhage. Methods Divide 54 eases of hypertensive intrae, erebral hemorrhage patients into two groups. Give the patients small bone window craniotomy surgery- and eraniotomy surgery, respectively. Observe the operation time and the amount of bleeding during the operation, and score the neurological deficits before and after the operation among both groups of patients. Results The operation time and the amount of bleeding during the operation of the first group is less than the second group（P〈0.05）. The score of the neurological deficit one month after the operation for the first group is obviously lower than the second group （P〈0.05）. The potency for the first group totaled 88.9%, higher than 66.7% of the second group （P〈0.05）. Conclusion Small bone window craniotomy surgery is a better choice for treating hypertensive intracerebral hemorrhage than craniotomy surgery.