小骨窗开颅术治疗高血压脑出血156例分析

目的探讨和比较小骨窗开颅血肿清除术和传统的大骨瓣开颅手术治疗高血压脑出血的疗效。方法对156例高血压脑出血患者分别采用小骨窗开颅术和传统开颅手术进行治疗,其中采用小骨窗开颅手术治疗高血压脑出血患者有90例,采用传统大骨瓣开颅手术治疗高血压脑出血患者66例,手术1d后再复查CT,观察血肿的清除率,手术6个月后进行手术效果评价。结果术后1d复查CT,两组血肿的清除率的差异没有统计学意义,但是小骨窗开颅组手术后恢复良好率比大骨瓣开颅组有非常明显的提高,此差异有统计学意义。结论小骨窗开颅术的手术病治愈率和良好率以及预后的改善情况,均优于传统开颅组,小骨窗开颅术是目前治疗高血压脑出血的理想方法。

Small Bone Window Craniotomy for Hypertensive Cerebral Hemorrhage Analysis of 156 Cases

Objective To explore and compare small bone window craniotomy and the traditional big bone flap craniotomy operation in treatment of hypertensive cerebral hemorrhage.Methods 156 cases of hypertensive cerebral hemorrhage were treated by small bone window craniotomy and traditional craniotomy operation treatment,which uses small bone window craniotomy operation in treatment of hypertensive cerebral hemorrhage patients with 90cases,using the traditional big bone flap craniotomy operation in treatment of hypertensive cerebral hemorrhage in 66 cases,1 days after the operation and review of CT,observation of the hematoma clearance rate after 6months of operation,operation effectiveness evaluation.Results On the 1 postoperative day review of CT,two groups of hematoma clearance rate differences were not statistically significant,but small bone window craniotomy operation after good recovery rate than large bone flap craniotomy group was obviously improved,the difference was statistically significant.Conclusion Of small bone window craniotomy with operation cure rate and good rate and improvement of prognosis,are superior to conventional craniotomy.For the hypertensive putaminal hemorrhage in small bone window craniotomy,more conducive to recovery after operation.This is the current treatment of hypertensive cerebral hemorrhage with minimally invasive operation treatment method of ideal.