小骨窗开颅经侧裂入路血肿清除术和骨瓣开颅血肿清除术治疗高血压脑出血的效果对比

Comparasion of Keyhole Transsylvian Approach and Conventional Craniotomy Approach on Hypertensive Intracerebral Hemorrhage

目的探讨小骨窗开颅经侧裂入路血肿清除术和骨瓣开颅血肿清除术治疗高血压脑出血的效果。方法回顾性分析该院2012年1月—2014年1月收治的70例高血压脑出血患者临床资料,按手术方法分为实验组和对照组,实验组为小骨窗开颅经侧裂入路血肿清除术,对照组为骨瓣开颅血肿清除术,比较两组患者术中出血量、手术时间、住院时间、日常生活能力（ADL）和病死率。结果对照组住院时间和术中出血量均较实验组高,组间比较差异有统计学意义（P〈0.05）。术后1个月时,两组患者病死率和ADLⅠ~Ⅲ级百分率比较差异均无统计学意义（P〉0.05）,但术后3个月时实验组ADLⅠ~Ⅲ级百分率较对照组高,差异有统计学意义（P〈0.05）。结论高血压脑出血应用小骨窗开颅经侧裂入路血肿清除术可更好地改善患者生活能力,术中出血量和住院时间也可得到明显改善。

Objective To evaluate the effects of intrapartum analgesia at different stages on labor.Methods A retrospective analysis was made on 70 cases of among primiparaes from January 2012 to January 2014 in our hospital,and were divided into control group and experimental group,control group were treated with conventional craniotomy approach,experimental group were treated with keyhole transsylvian approach,The amount of intraoperative bleeding, operation time, hospitalization time, the ability of daily life （ADL） and mortality rate were compared.Results The amount of intraoperative bleeding and hospitalization time of control group were lower than experimental group,the difference was statistically significant （P〈0.05）.The mortality rate and ADL I ~ III percentage between two group had no statistical difference in 1 month（P〉0.05）,but ADL I ~ III percentage of experimental group was higher than control group,the difference was statistically significant （P〈0.05）.Conclusion Keyhole transsylvian approach could improve ADL of patients with hypertensive intracerebral hemorrhage,amount of intraoperative bleeding and hospitalization time could be shortened also.