微创小骨窗开颅血肿引流术治疗脑血管淀粉样变相关性脑出血的效果观察

Effect of minimally invasive small bone window craniotomy and hematoma drainage on cerebral amyloidosis related cerebral hemorrhage

目的:探讨用微创小骨窗开颅血肿引流术治疗脑血管淀粉样变相关性脑出血的效果。方法:选取2016年4月至2020年12月期间四川荣县人民医院收治的58例脑血管淀粉样变相关性脑出血患者作为研究对象。将这些患者平均分为观察组和对照组。对观察组患者进行微创小骨窗开颅血肿引流术,对对照组患者进行常规开颅血肿清除术。然后比较两组患者血肿的清除率、手术后并发症的发生率。结果:手术后,观察组患者血肿的清除率高于对照组患者,P<0.05;其并发症的发生率低于对照组患者,P<0.05。结论:用微创小骨窗开颅血肿引流术治疗脑血管淀粉样变相关性脑出血的效果较为理想,手术后患者血肿的清除率较高,术后并发症的发生率较低。

Objective:To explore the effect of minimally invasive small bone window craniotomy hematoma drainage in the treatment of cerebral amyloidosis related cerebral hemorrhage.Methods:Fifty-eight patients with cerebrovascular amyloida-related cerebral hemorrhage admitted to People’s Hospital of Rong County,Sichuan province from April 2016 to December 2020 were selected as the research object.These patients were equally divided into observation group and control group.The observation group was treated with minimally invasive small bone window craniotomy hematoma drainage,and the control group was treated with routine craniotomy hematoma removal.Then the clearance rate of hematoma and the incidence of postoperative complications were compared between the two groups.Results:After operation,the clearance rate of hematoma in observation group was higher than that in control group,P<0.05;The incidence of complications was lower than that of control group,P<0.05.Conclusion:The minimally invasive small bone window craniotomy and hematoma drainage in the treatment of cerebrovascular amyloida-related cerebral hemorrhage is ideal,the hematoma clearance rate is hi gh after surgery,the incidence of postoperative complications is low.