显微镜下小骨窗治疗基底节区脑出血的临床观察

Clinical Observation on Treatment of Cerebral Hemorrhage in Basal Ganglia with Small Bone Window Under Microscope

目的:分析显微镜下小骨窗治疗基底节区脑出血的临床效果。方法:研究对象为本院2018年3月~2019年9月收治的基底节区脑出血患者80例,根据治疗方式的不同将其分为研究组和对照组,组间一般资料无显著差异(P>0.05)。研究组患者采用显微镜下小骨窗进行治疗,对照组患者采用传统的大骨瓣开颅进行治疗,观察两组患者的术后身体功能恢复情况、手术时间、住院时间及术中出血量。结果:研究组患者术后身体功能恢复情况整体优于对照组(P<0.05)。研究组患者的手术时间和住院时间分别为(16.22±4.72)min和(11.86±3.15)d,均显著短于对照组患者的(125.37±12.64)min和(34.28±5.44)d,P<0.05;研究组患者的术中出血量为(43.76±11.50)mL,显著小于对照组的(93.62±28.36)mL,P<0.05。结论:对于基底节区脑出血患者应用显微镜下小骨窗治疗方式有助于患者术后身体功能恢复,效果显著。

Objective:To analyze the clinical effect of the treatment of basal ganglia cerebral hemorrhage with small bone window under microscope.Methods:80 patients with cerebral hemorrhage in basal ganglia from March 2018 to September 2019 in our hospital were divided into study group and control group according to different treatment methods.There was no significant difference in general data between the two groups(P>0.05).The patients in the study group were treated with small bone window under microscope,while the patients in the control group were treated with traditional large bone flap craniotomy.The recovery of body function,operation time,hospitalization time and intraoperative bleeding volume of the two groups were observed.Results:The recovery of physical function in the study group was better than that in the control group(P<0.05).The operation time and hospitalization time in the study group were(16.22±4.72)minutes and(11.86±3.15)days,significantly shorter than those in the control group(125.37±12.64)minutes and(34.28±5.44)days(P<0.05).The amount of bleeding in the study group was(43.76±11.50)mL,significantly lower than that in the control group(93.62±28.36)mL(P<0.05).Conclusion:The treatment of small bone window under microscope is helpful to the recovery of body function in patients with cerebral hemorrhage in basal ganglia.