颅骨钻孔尿激酶溶解引流术和小骨窗开颅血肿清除术治疗高血压脑出血的疗效

目的比较颅骨钻孔尿激酶溶解引流术和小骨窗开颅血肿清除术治疗高血压脑出血的疗效。方法将我院收治的患者高血压脑出血患者94例随机分成A、B两组。A组给予颅骨钻孔尿激酶溶解引流术治疗,B组给予小骨窗开颅血肿清除术治疗。观察两组患者手术效果的差异。结果与A组相比较,B组总有效率较低,病死率较高,有显著的统计学差异(P<0.05)。结论采用颅骨钻孔尿激酶溶解引流术治疗高血压脑出血比小骨窗开颅血肿清除术更具优势,值得在临床上推广应用。

The Effect of Skull Drilling Drainage with Urokinase and Small Bone Window Craniotomy Evacuation of Hematoma in Treatment of Hypertensive Cerebral Hemorrhage

Objective Compare the skull drilling drainage with urokinase and small bone window craniotomy evacuation of hematoma in treatment of hypertensive cerebral hemorrhage. Methods Choose 94 eases in our hospital, were randomly divided into A group and B group. A group received cranial trepanation and drainage for the treatment of urokinase, B group were treated by small bone window eraniotomy evacuation of hematoma in treatment. Two groups were observed in patients with operation difference. Results Compared with A group, the total effective rate of B group was lower, the mortality rate of B group was higher, with significant statistical difference （P〈0.05）. Conclusion Urokinase skull drilling drainage in treating hypertensive cerebral hemorrhage has more advantage than small bone window craniotomy, it was worthy of clinical application.