改良小骨窗与大骨瓣开颅血肿清除术治疗高血压脑出血的临床对比研究

目的 研究小骨窗开颅术与大骨瓣开颅术对高血压脑出血的治疗效果.方法 对2007至2011年间收治的80例高血压脑出血患者随机分为实验组和对照组各40例,实验组使用小骨窗开颅术,对照组使用大骨瓣开颅血肿清除术进行治疗,对两组患者治疗效果及并发症情况进行观察和比较.结果 对照组患者痊愈3例,显著改善22例,有效率62.5％；实验组痊愈5例,显著改善30例,有效率87.5％,实验组显著高于对照组(P＜0.05).实验组患者肺部感染发生率30％,显著低于对照组的52.5％(P＜ 0.05),其余并发症两组比较差异无显著性(P＞0.05).结论小骨窗开颅术比大骨瓣开颅血肿清除术有更好的治疗效果而操作更简便,术后并发症更少,是一种理想的手术方案.

Surgery therapy for hypertensive cerebral hemorrhage of 2 different methods

Objective To research the effective of small bone window craniotomy（SBWC） and routine craniotomy（RC） on hypertensive cerebral hemorrhage（HICH）. Method 80 HICH patients were randomly divided into control group and experimental group from 2007 to 2011. Control group was treated with RC, while experimental group was treated with SBWC. Results Control group had 3 cured, 22 improved with effective rate of 62.5%; experimental group had 5 cured, 30 improved with effective rate of 87. 5%. The effect of experimental group was significantly better than that of control group（P〈 0.05）. The lung infection rate of experimental group was 30%, which was lower than 52.5% of control group（P 〈 0.05）. Conclusion The $BWC has better effect than RC, while the SBWC is more convenient and has less complication.