两种手术方法治疗高血压脑出血的临床对比研究

目的探讨小骨窗血肿清除术和颅内血肿微创粉碎清除术治疗高血压脑出血的疗效。方法回顾分析2007年3月～2011年6月间114例手术治疗的高血压脑出血患者的临床资料,其中小骨窗血肿清除术59例(小骨窗组),颅内血肿微创粉碎清除术55例(微创组),比较两组的手术时间、术中出血量、术后ADL分级疗效和并发症发生率。结果小骨窗组手术时间(1.14±0.41)h,术中出血(61.18±10.23)ml;微创组手术时间(1.26±0.38)h,术中出血(54.26±9.51)ml,两组比较差异无统计学意义(P>0.05)。术后两组术后并发症发生率和ADL分级情况差异无统计学意义(P>0.05)。结论小骨窗血肿清除术和颅内血肿微创粉碎清除术治疗高血压脑出血疗效相似,临床应根据病情和医师经验选用。

The comparative study oftwo surgical procedures for hypertensive cerebral hemorrhage

Objective To investigate the clinical efficacy of small skull-window craniotomy(SWC) and minimally invasive evacuation intracranial hematoma(MIEIH) for hypertensive cerebral hemorrhage.Methods The clinical data of 114 patients with hypertensive cerebral hemorrhage treated by surgery between Mar.2007 and June.2011 were analyzed.Among them,59 cases treated by SWC,and 52 cases treated by MIEIH.Clinical parameters including operation duration,blood loss,the ADL classification after surgery and complications between groups were compared.Results The operation duration and blood loss in SWC group were the corresponding data of(1.14±0.41)h and(61.18±10.23) ml,these in MIEIH group were the corresponding data of(1.26±0.38)h and(54.26±9.51) ml.There was no statistical significances between two group(P>0.05);The ADL classification after surgery and complications had no statistical significances between two group(P>0.05).Conclusion There are almost same clinical efficacy in using SWC and MIEIH for hypertensive cerebral hemorrhage.The application should according to the patient’s condition and experience of surgeon.