小骨窗微创手术与开颅手术治疗高血压基底节脑出血的临床对比

Clinical comparison of minimally invasive surgery and craniotomy in the treatment of hypertensive basal ganglia hemorrhage

目的观察小骨窗微创手术与开颅手术治疗高血压基底节脑出血的临床对比。方法选取我院2014年10月～2017年10月接收的84例高血压基底节脑出血患者为本次实验研究对象,按照手术类型不同将所有患者均分为微创组与开颅组,开颅组40例患者给予传统开颅手术治疗,微创组44例患者给予微创手术治疗,观察比较两组患者预后情况。结果微创组患者手术时间、术中出血量、住院时间均明显少于开颅组,微创组患者治疗后同一时间段神经功能损伤评分(NIHSS)得分明显低于开颅组,微创组患者治疗后同一时间段日常生活自理能力(ADL)得分明显高于开颅组,各项数据差异有统计学意义(P <0.O5)。结论对于高血压基底节脑出血患者给予小骨窗微创手术患者手术时间短、术中出血量少,有利于患者术后康复。

Objective To observe the clinical comparison of minimally invasive surgery and eraniotomy in the treatment of hypertensive basal ganglia hemorrhage. Methods In our hospital from October 2014 to October 2017, 84 cases with hypertensive basal ganglia hemorrhage were selected as the study object, according to the different types of surgery, all patients were divided into minimally invasive group and eraniotomy group. And 40 patients of eraniotomy group were treated with traditional eraniotomy, the 44 cases of minimally invasive group were treated with minimally invasive surgical treatment, the prognosis of patients were compared between the two groups. Results The operative time, intraoperative bleeding volume and hospitalization time of minimally invasive group were significantly less than those of eraniotomy group. At the same time after treatment, the neurological impairment seore（NIHSS） of patients in the minimally invasive group was significantly lower than that of eraniotomy group, the daily living skills（ADL） of minimally invasive group was significantly higher than that of craniotomy group. The differences wwere statistically signifieant（P 〈 0.05）. Conclusion Small bone window minimally invasive surgery for patients with hypertensive basal ganglia cerebral hemorrhage can shorten the operation time and reduce the amount of intraoperative bleeding, which is conducive to postoperative rehabilitation.