小骨窗开颅术与大骨瓣开颅术治疗脑出血86例

Small Bone Window Craniotomy and Large Bone Flap Craniotomy for Treatment of 86 Cases of Intracerebral Hemorrhage

目的针对脑出血患者使用小骨窗开颅术与大骨瓣开颅术治疗的临床效果进行分析与研究。方法此次研究选取的对象为本院收入的86例脑出血患者,时间:2016年11月—2019年4月,将其按照治疗方式的不同进行分组,组别名称分别为:比对组(大骨瓣开颅术治疗)、研究组(小骨窗开颅术治疗),每组中各收入43例,比较最终的治疗效果。结果接受小骨窗开颅术治疗的研究组脑出血患者的手术时间为(0.98±0.12)h,住院时间为(23.06±2.41)d,接受大骨瓣开颅术治疗的比对组脑出血患者的相关指标分别为(2.96±0.23)h、(35.18±3.29)d,相比较来说,研究组明显较低,P<0.05;两组脑出血患者在术后并发症的发生率相比较而言(9.30%vs 27.91%),研究组有明显优势,P<0.05。结论与大骨瓣开颅术治疗方式相比较,小骨窗开颅术对于脑出血患者的临床疗效更好。

Objective To analyze and study the clinical effect of small bone window craniotomy and large bone flap craniotomy in patients with cerebral hemorrhage.Methods This study selected 86 patients with cerebral hemorrhage patients from the hospital.Time:from November 2016 to April 2019.They were grouped according to different treatment methods.The group names were:comparison group(large bone flap craniotomy treatment),research group(small bone window craniotomy treatment),each group was received 43 cases,and compare the final treatment effect.Results In the study group,the operation time of intracerebral hemorrhage was(0.98±0.12)h,and the hospitalization time was(23.06±2.41)d.In the comparison group,the relevant indexes of intracerebral hemorrhage patients were(2.96±0.23)h and(35.18±3.29)d respectively,which were significantly lower in the study group(P<0.05).Compared with the two groups,the incidence of postoperative complications of intracerebral hemorrhage patients was(9.30%vs 27.91%),and the study group had an obvious advantage(P<0.05).Conclusion Compared with large bone flap craniotomy,small bone window craniotomy has a better clinical effect on patients with intracerebral hemorrhage.