小骨窗与传统骨瓣开颅治疗高血压脑出血的疗效对比

Therapeutic effects comparison of small bone window and conventional craniotomy in the treatment of hypertensive intracerebral hemorrhage

目的探讨小骨窗与传统骨瓣开颅治疗高血压脑出血的临床效果。方法将我院2012年1月至2016年12月收治的106例高血压脑出血患者随机分为研究组和对照组,各53例。研究组患者行小骨窗开颅血肿清除术治疗,对照组患者行传统骨瓣开颅血肿清除术治疗。观察两组患者的临床疗效。结果研究组患者的临床总有效率为88.68%,显著优于对照组的71.70%(P<0.05);研究组患者并发症总发生率为15.09%,显著低于对照组的32.08%,差异具有统计学意义(P<0.05)。结论与传统骨瓣开颅手术相比,小骨窗开颅血肿清除术治疗高血压脑出血具有较高的安全性,不良反应发生率低,疗效显著,可推广使用。

Objective To discuss the therapeutic effect of small bone window and conventional craniotomy in the treatment of hypertensive intracerebral hemorrhage. Methods A total of 106 patients with hypertensive cerebral hemorrhage treated in our hospital from January 2012 to December 2016 were selected and randomly divided into the study group and control group, with 53 cases in each group. The study group was treated with small bone window craniotomy and hematoma removal; while the control group was treated with traditional craniotomy treatment. The clinical curative effects of the two groups were compared. Results The total effective rate of the study group was 88.68%, which was significantly higher than71.70% of the control group; the incidence rate of complications in the study group was 15.09%, which was significantly lower than 32.08% in the control group, the differences between the two groups were statistically significant（P 0.05）.Conclusion The application of small bone window craniotomy and hematoma removal in the treatment of hypertensive intracerebral hemorrhage is superior to the traditional craniotomy. The incidence of adverse reactions is low, and the curative effect is remarkable. It can be popularized in clinic.