开颅手术治疗脑血管畸形出血疗效研究

Effect of craniotomy in the treatment of cerebral vascular malformation hemorrhage

目的:探讨开颅手术治疗脑血管畸形出血的临床应用价值。方法:收治脑血管畸形患者68例,按照数字随机法分为试验组与对照组各34例,对照组采取传统保守治疗,试验组采取开颅手术治疗。结果:试验组的ADL分级情况、治疗总有效率显著优于对照组(P<0.05);试验组临床复发率明显低于对照组(P<0.05)。结论:开颅手术治疗脑血管畸形出血可以取得显著的治疗效果,而且复发率相对较低。

Objective:To investigate the clinical value of craniotomy in the treatment of cerebral vascular malformation.Methods:68 patients with cerebral vascular malformation were selected.They were randomly divided into the experimental group and thecontrol group with 34 cases in each group.Patients in the control group took the traditional conservative treatment,while patients inthe experimental group adopted craniotomy treatment.Results:The ADL classification,the total effective rate of the experimentalgroup was significantly better than those of the control group(P<0.05);the clinical recurrence rate of the experimental group wassignificantly lower than that of the control group(P<0.05).Conclusion:Craniotomy in the treatment of cerebral vascularmalformation hemorrhage can achieve significant therapeutic effect,and the recurrence rate is relatively small.