微创血肿清除术与开颅手术在高血压脑出血治疗中的疗效对比

A Comparative Study of Minimally Invasive Intracranial Hematoma and Craniotomy Operation for Hypertensive Cerebral Hemorrhage

目的探讨微创血肿清除术与常规开颅术在治疗高血压脑出血方面的疗效。方法回顾性分析该院2012年1月—2014年12月收治的112例高血压脑出血患者,随机分为常规开颅手术组与微创血肿清除术组,对两组患者手术创口大小、术中出血量、手术时间、住院时间、并发症及治疗效果方面的差异进行比较。结果微创血肿清除术组手术创口较小、术中出血少、手术及住院时间短、并发症发生率低,与常规开颅术组比较差异有统计学意义(P<0.05);治疗效果比较两组间差异无统计学意义(P>0.05)。结论微创血肿清除术与常规开颅手术在高血压脑出血治疗方面均有较好的效果,此外前者还具有创口小、术中出血少、手术及住院时间短、并发症发生率低的特点,值得临床推广。

Objective To explore the clinical effect of minimally invasive intracranial hematoma and craniotomy operation on hypertensive cerebral hemorrhage. Methods 112 patients with hypertensive cerebral hemorrhage admitted in our department were retrospectively analyzed and randomly divided into routine craniotomy group（n=53） and minimally invasive intracranial hematoma group（n=59）. The wound size, bleed volume, duration of operation, duration of hosipitalization, complications and therapeutic effects of the two groups were compared. Results The wound size, bleed volume, duration of operation, duration of hospitalization and rate of complications were lower in the minimally invasive intracranial hematoma group than those in the routine craniotomy group, and the differences were statistically significant（P〈0.05）; there was no statistically significant difference between the therapeutic effects of the two groups（P〈0.05）. Conclusion The effects of minimally invasive intracranial hematoma and craniotomy operation in the treatment of hypertensive cerebral hemorrhage are both good, but the former is worthy of promotion in clinical practice because it has features of minimal invasion, little bleeding, short duration of and hospitalization and low complication rate.