直切口小骨瓣开颅高血压基底节区脑出血并发脑疝的效果

Effect of Craniotomy for Hypertensive Basal Ganglia Intracerebral Hemorrhage Complicated With Cerebral Hernia With Small Bone Flap

目的分析直切口小骨瓣开颅应用于高血压基底节区脑出血并发脑疝的疗效。方法研究对象选自2015年3月—2017年5月我院收治的58例高血压基底节区脑出血并发脑疝患者,随机分组,对照组行大骨瓣开颅血肿清除与去骨瓣减压手术治疗,观察组使用小骨瓣开颅与骨瓣复位手术治疗,对比两组患者手术情况、并发症发生情况。结果观察组手术时间、住院时间等手术指标优于对照组(P<0.05),两组血肿清除率对比,差异无统计学意义;观察组并发症发生率为13.8%,低于对照组31.0%(P<0.05)。结论对高血压基底节区脑出血并发脑疝患者来说,直切口小骨瓣开颅术效果更显著,可快速接触脑疝,手术时间短,并发症较少,安全性高。

Objective To analyze the effect of direct incision craniotomy for cerebral hemorrhage complicated with cerebral hernia in hypertensive basal ganglia region. Methods 58 cases of hypertensive basal ganglia intracerebral hemorrhage complicated with cerebral hernia treated from March 2015 to May 2017 in our hospital were selected, they were randomly divided into groups. In the control group, the craniotomy hematoma and the bone fap decompression were performed in the control group. The observation group was treated with craniotomy and reduction of bone flap. The operation and complications of the two groups were compared. Results The operative time of the observation group and the time of hospitalization were better than those of the control group （P 〈 0.05）. There was no signifcant difference between the two groups of hematoma clearance rate. The incidence of complications in the observation group was 13.8%, which was lower than that of the control group 31% （P 〈 0.05）. Conclusion For patients with hypertensive basal ganglia hemorrhage and cerebral hernia, straight incision small bone fap craniotomy is more effective, which can quickly contact brain hernia, with shorter operation time, fewer complications and high safety.