小骨窗开颅手术治疗高血压脑出血的临床疗效观察 |
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引用本文: | 吴一平,姚建社,邵云,浦毅,羊正祥.小骨窗开颅手术治疗高血压脑出血的临床疗效观察[J].湖南医学,2014(1):118-119,122. |
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作者姓名: | 吴一平 姚建社 邵云 浦毅 羊正祥 |
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作者单位: | 江苏省无锡市人民医院神经外科,江苏 无锡214000 |
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摘 要: | 目的]观察小骨窗开颅手术治疗高血压脑出血的临床疗效。方法]2011年7月至2013年3月收治的100例高血压脑出血患者分为观察组( n =50)和对照组( n=50),观察组患者采用小骨窗开颅手术治疗,对照组患者采用常规骨瓣开颅术治疗。结果]观察组的手术时间、住院时间、并发症率、疗效和预后均显著优于对照组(P <0.05),但是两组患者的血肿清除率和再出血率无统计学差异(P >0.05)。结论]小骨窗开颅术治疗高血压脑出血疗效确切,创伤小、并发症少,值得临床推广运用。
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关 键 词: | 高血压 并发症 脑出血 外科学 |
Observation on Clinical Efficacy of Small Bone Window Craniotomy for the Treatment of Hy-pertensive Intracerebral Hemorrhage |
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Institution: | WU Yi-ping, YAO Jian-she, SHAO Yun, et al ( Department of Neurosurgery, the People's Hospital of Wuxi City, Jiangsu 214000, China ) |
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Abstract: | Objective] To observe the clinical efficacy of small bone window craniotomy for the treatment of hypertensive intracerebral hemorrhage .Methods]Totally 100 patients with hypertensive intracerebral hem-orrhage in our hospital from July 2011 to March 2013 were divided into observation group( n=50) and control group( n=50) .The observation group underwent small bone window craniotomy ,while the control group un-derwent standard craniotomy .Results] The operation time ,hospitalization time ,complication rate ,curative effect and prognosis in the observation group were significantly better than those in the control group ( P 〈0 .05) ,but there was no significant difference in hematoma clearance rate and rehaemorrhagia rate between two groups( P 〉0 .05) .Conclusion]Small bone window craniotomy for the treatment of hypertensive intracere-bral hemorrhage has definite efficacy with little trauma and complications ,so it is worthy of clinical promotion . |
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Keywords: | Hypertension/CO Cerebral Hemorrhage/SU |
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