开颅术与微创钻孔引流治疗高血压脑出血的效果比较

Effect comparison of craniotomy and minimally invasive drilling drainage for the treatment of hypertensive cerebral hemorrhage

目的比较开颅术与微创钻孔引流术治疗高血压脑出血的临床效果。方法选取我院收治的高血压脑出血患者150例,按照手术方式不同分成开颅组和微创组,开颅组采取开颅术治疗,微创组采取微创钻孔引流治疗,比较两组治疗高血压脑出血的临床效果。结果微创组肺部感染、脑梗死和再出血发生率明显低于开颅组,差异有统计学意义(P<0.05)。微创组死亡率明显低于开颅组,差异有统计学意义(P<0.05)。结论微创钻孔引流较之开颅手术可在疗效保证的基础上减少患者并发症发生率以及死亡率,具有较高的临床价值。

Objective To compare the clinical effect of craniotomy and minimally invasive drilling drainage for the treatment of hypertensive cerebral hemorrhage. Methods A total of 150 patients with hypertensive cerebral hemorrhage were divided into craniotomy group and minimally invasive group according to different operation methods, craniotomy group was given open-brain treatment, minimally invasive group was given minimally invasive drilling drainage. Com- pared the clinical therapeutic effects of the two groups of hypertensive cerebral hemorrhage. Results The incidence of lung infection, cerebral infarction, rehaemorrhagia of minimally invasive group were lower than craniotomy group, dif- ference had statistics meaning （P〈0.05）.The mortality of minimally invasive group was lower than craniotomy group, difference had statistics meaning （P〈0.05）. Conclusion Compared with craniotomy, the minimally invasive drilling drainage can guarantee the curative effect and reduce incidence of complications and mortality, it has high clinical value.