显微镜下小骨窗开颅手术治疗高血压脑出血的疗效分析

Analysis of Curative Effect of Small Bone Window Craniotomy Under Microscope for Hypertensive Cerebral Hemorrhage

目的:分析高血压脑出血患者应用显微镜下小骨窗开颅手术治疗的临床价值。方法:选取2018年4月~2019年7月本院收治的48例高血压脑出血患者,所有患者均接受显微镜下小骨窗开颅手术治疗,并记录患者平均手术时间、平均出血量、平均输血量、病死率以及血肿清除率。结果:平均手术时间(3.35±0.54)h;平均出血量(160.38±19.09)mL;平均输血量(140.18±19.72)mL;病死率6.25%;血肿清除超过85%所占比例83.33%,血肿清除70%~84%所占比例6.67%。结论:高血压脑出血患者应用显微镜下小骨窗开颅手术治疗效果确切,可缩短手术时间,减少病死率,提高血肿清除率。

Objective:To analyze the clinical value of microsurgical small bone window craniotomy for hypertensive cerebral hemorrhage.Methods:From April 2018 to July 2019,48 patients with hypertensive cerebral hemorrhage admitted to our hospital were selected.All patients were treated by small bone window craniotomy under microscope.The average operation time,average hemorrhage volume,average blood transfusion volume,mortality rate and hematoma clearance rate of the patients were recorded.Results:The average operation time was(3.35±0.54)hours.The average bleeding volume was(160.38±19.09)mL.The average blood transfusion volume was(140.18±19.72)mL.The death rate was 6.25%.Hematoma clearance exceeded 85%,accounting for 83.33%and hematoma clearance 70-84%,accounting for 6.67%.Conclusion:Small bone window craniotomy under microscope is effective for hypertensive cerebral hemorrhage patients,which can shorten operation time,reduce mortality rate and improve hematoma clearance rate.