微创颅内血肿清除术治疗高血压脑出血的临床效果

Clinical effect of mimimally invasive surgery of intracranial hematoma on hypertensive cerebral hemorrhage

目的研究微创颅内血肿清除术治疗高血压脑出血的临床效果。方法对我院收治的92例高血压脑出血患者的临床资料进行回顾性分析,按照治疗方法将患者分为研究组和对照组,各46例。对照组给予开颅血肿清除术治疗,研究组给予微创颅内血肿清除术治疗。比较两组患者的临床效果。结果治疗后,两组患者的神经功能缺损评分均明显低于治疗前,且研究组低于对照组(P<0.05);研究组治疗总有效率为95.65%,明显高于对照组的73.91%(P<0.05);研究组的手术时间及术中出血量明显优于对照组,差异具有统计学意义(P<0.05)。结论微创颅内血肿清除术治疗高血压脑出血临床效果显著,可改善神经功能缺损,缩短手术时间,降低术中出血量,值得临床推广运用。

Objective To study the clinical effect of mimimally invasive surgery of intracranial hematoma on hypertensive cerebral hemorrhage.Methods The clinical data of92cases of patients with hypertensive cerebral hemorrhage were retrospectively analyzed.All the patients were divided into study group and control group according to treatment methods,with46cases in each group.The control group was treated with craniotomy of intracranial hematoma,and the study group was given mimimally invasive surgery of intracranial hematoma.The clinical effects of the two groups were compared.Results After treatment,the neurological deficit scores of the two groups were lower than those before treatment,and the neurological deficit score of the study group was lower than that of the control group(P<0.05).The total effective rate of the study group was95.65%,which was higher than73.91%of the control group(P<0.05).The operation time and intraoperative blood loss of the study group were better than those of the control group,the differences were statistically significant(P<0.05).Conclusion Mimimally invasive surgery of intracranial hematoma in the treatment of hypertensive cerebral hemorrhage has significant clinical effect.It can improve the defect of nerve function,shorten the operation time and reduce intraoperative blood loss,which is worth popularizing and applying in clinic.