小骨窗开颅微创血肿清除术治疗高血压脑出血的临床体会

Clinical Experience on Small Skull-window Microsurgical Surgery in the Treatment of Hypertensive Cerebral Hemorrhage

目的:探讨小骨窗开颅微创血肿清除术和传统骨瓣开颅血肿清除术治疗高血压脑出血的效果。方法:回顾性分析本院2010年1月-2014年10月采用两种手术方法治疗的高血压脑出血患者的临床资料。结果:传统手术患者再出血几率较低,小骨窗微创手术能减少患者术后的并发症,缩短患者的住院时间,并能有效降低患者的致残率,两组比较差异有统计学意义(P<0.05)。结论:在人员技术、设施设备能满足条件的前提下,采用小骨窗开颅微创血肿清除术治疗高血压脑出血效果更好。

Objective：To discuss the clinical efficacy between the two approaches of small skull-window microsurgical surgery and conventional trauma craniotomy in the treatment of hypertensive cerebral hemorrhage.Method：The clinical data of patients with hypertensive cerebral hemorrhage who were treated with two different approaches from January 2010 to October 2014 were analyzed retrospectively. Result：The rehemorrhage rate of patients were treated with conventional trauma craniotomy was relatively lower than patients treated with small skull-window microsurgical surgery. Small skull-window microsurgical surgery was superior than conventional trauma craniotomy in the incidence of postoperative complications,disability rate and patients＇ hospitalization time, the differences were statistically significant（P〈0.05）.Conclusion：Small skull-window microsurgical surgery is superior than conventional trauma craniotomy, which depends on both medical technology and treatment facilities.