小骨窗微创手术治疗脑出血的技术及疗效探究

Study on the technique and effect of minimally invasive operation with small bone window in the treatment of cerebral hemorrhage

目的:探讨小骨窗微创手术治疗脑出血的技术及疗效。方法:2017年2月-2018年11月收治脑出血患者70例,随机分为两组,各35例。常规组采用常规传统开颅手术治疗;微创组采用小骨窗微创手术治疗。比较两组治疗效果。结果:微创组治疗总有效率高于常规组,治疗后急性生理与慢性健康评分、认知MMSE评分、Fugl-Meyer评测分均优于常规组,手术出血量、手术操作时间、术后住院时间均低于常规组,差异有统计学意义(P<0.05)。结论:脑出血患者实施小骨窗微创手术治疗效果确切,可改善患者认知功能和运动功能,并减少手术时间和出血量,缩短住院时间。

Objective:To explore the technique and effect of minimally invasive operation with small bone window in the treatment of cerebral hemorrhage.Methods:From February 2017 to November 2018,70 patients with cerebral hemorrhage were selected and randomly divided into two groups with 35 cases in each group.The conventional group was treated with conventional craniotomy.The minimally invasive group was treated with small bone window minimally invasive surgery.We compared the efficacy of the two groups.Results:In the minimally invasive group,the total effective rate of treatment was higher than that in the conventional group,after treatment,the acute physiological and chronic health scores,cognitive MMSE scores,Fugl Meyer scores were all better than those in the conventional group,and the amount of bleeding,operation time and postoperative hospital stay were all lower than those in the conventional group,the difference was statistically significant(P<0.05).Conclusion:The effect of minimally invasive operation with small bone window in patients with cerebral hemorrhage is accurate,it can improve the cognitive function and motor function of patients,reduce the operation time and the amount of bleeding,and shorten the hospitalization time.