高血压脑出血开颅术与微创手术的对比研究

Comparative study of craniotomy and minimally invasive surgery for hypertensive cerebral hemorrhage

目的:比较高血压脑出血小骨窗开颅血肿清除手术与微创穿刺血肿清除术的临床疗效。方法:收治高血压脑出血患者60例,随机分为两组。A组给予微创穿刺血肿清除术,B组给予小骨窗开颅血肿清除手术,比较两组临床疗效。结果:A组治疗期间的手术时间、出血量、血肿清除率优于B组,差异有统计学意义(P<0.05)。A组有效率明显高于对照组,差异具有统计学意义(P<0.05)。结论:微创穿刺血肿清除术治疗高血压脑出血患者临床疗效较好,手术时间短。

Objective:To compare the clinical effect of small bone window craniopuncture therapy with microinvasivecraniopuncture therapy for hypertensive cerebral hemorrhage.Methods:60 cases of patients with hypertensive cerebral hemorrhagewere divided into two groups randomly.A group was given microinvasive craniopuncture therapy;B group was given small bonewindow craniopuncture therapy.The clinical effect of the two groups was compared.Results:The operation time,bleeding amountand hematoma clearance rate of A group were better than those of B group,and the differences were statistically significant(P<0.05).The effective rate of A group was significantly higher than that of the control group,and the difference was statisticallysignificant(P<0.05).Conclusion:Microinvasive craniopuncture therapy in the treatment of patients with hypertensive cerebralhemorrhage had better clinical curative effect and had short operation time.