超早期小骨窗微创颅内血肿清除术的效果

Effect of ultra early minimally invasive evacuation of intracranial hematoma with small bone window

目的 观察超早期小骨窗微创颅内血肿清除术对高血压脑出血的治疗效果,为提升临床该术式的治疗效果提供参考。方法 选取聊城市茌平区人民医院2020年3月—2021年3月收治的高血压脑出血患者58例作为研究对象,通过奇偶分组将患者分为研究组和对照组各29例,研究组实施超早期小骨窗微创颅内血肿清除术,对照组实施传统骨瓣开颅血肿清除术。观察比较两组患者血肿清除率、手术时间、住院时间及治疗后生活质量。结果 研究组住院时间及手术时间分别为(20.16±4.12)d、(60.34±12.59)min,短于对照组的(30.55±6.26)d、(180.55±26.34)min;研究组血肿清除率为89.66%,高于对照组的62.07%;研究组治疗后各项生活质量评分均高于对照组,差异均有统计学意义(P<0.05)。结论 对高血压脑出血患者实施超早期小骨窗微创颅内血肿清除术治疗效果明显,可以帮助患者有效改善各项临床指标状况,提升生活质量,对加快疾病恢复速度具有积极意义。

Objective To observe the therapeutic effect of ultra early minimally invasive evacuation of intracranial hematoma with small bone window on hypertensive intracerebral hemorrhage, so as to provide reference for improving the therapeutic effect of this operation. Methods A total of 58 patients with hypertensive intracerebral hemorrhage admitted to Liaocheng Chiping District People’s Hospital from March2020 to March 2021 were selected as the study objects, and the patients were divided into the study group and the control group by odd even grouping. The study group implemented ultra early minimally invasive evacuation of intracranial hematoma with small bone window, while the control group implemented traditional bone flap craniotomy hematoma removal surger. The hematoma clearance rate, operation time, hospitalization time and quality of life after treatment were observed and compared between the two groups. Results The hospitalization time and operation time in the study group were(20.16±4.12)d and(60.34±12.59)min,respectively,which were shorter than those in the control group with(30.55±6.26)d and(180.55±26.34)min;the hematoma clearance rate in the study group was 89.66%,which was higher than 62.07% in the control group;all the scores of quality of life in the study group were higher than those in the control group after treatment,and the differences were statistically significant(P <0.05). Conclusion The ultra early minimally invasive evacuation of intracranial hematoma with small bone window for patients with hypertensive intracerebral hemorrhage had obvious therapeutic effect,which could help patients effectively improve their clinical indicators,improve their quality of life,and had positive significance in speeding up the recovery of disease.