微创穿刺抽吸术与开颅手术治疗脑出血的疗效

Therapeutic Effect of Minimally Invasive Puncture and Craniotomy for Cerebral Hemorrhage

目的探讨微创穿刺抽吸术与开颅手术治疗脑出血的疗效。方法选择2017年1月-2018年1月治疗的脑出血患者80例作为对象,根据住院时间先后顺序随机数字表分为对照组(n=40)和观察组(n=40)。观察组给予患者微创穿刺抽吸术治疗,对照组给予患者开颅手术治疗,比较两组患者术后总治愈效率和手术开展时间、住院天数。结果观察组手术开展时间、住院天数短于对照组(P<0.05);观察组的总治愈效率为90%高于对照组75%(P<0.05);观察组患者术后意识恢复时间短于对照组(P<0.05)观察组患者术后肢体障碍及肺部感染、伤口感染发生率均略低于对照组,但差异不具有统计学意义(P>0.05)。结论微创穿刺抽吸术在脑出血临床治疗中比开颅手术总治愈率高、安全性高、恢复快。

Objective To investigate the efficacy of minimally invasive puncture and craniotomy for cerebral hemorrhage. Methods Eighty-eight patients with cerebral hemorrhage treated from January to February 2018 in 2017 were enrolled. The randomized digital table was divided into control group(n=40) and observation group(n=40) according to the order of hospitalization time. The observation group was given minimally invasive aspiration and the control group was given craniotomy. The total healing efficiency, time of operation and length of hospital stay were compared between the two groups. Results The operation time and hospital stay in the observation group were shorter than those in the control group(P<0.05). The total cure efficiency of the observation group was 90% higher than that of the control group(75%)(P<0.05). In the control group(P<0.05), the incidence of postoperative limb disorders, dizziness, vertigo and wound infection were lower in the observation group than in the control group, but the difference is not statistically significant(P>0.05). Conclusion Minimally invasive puncture and aspiration in the clinical treatment of cerebral hemorrhage is higher than the total cure rate, high safety and quick recovery.