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小骨窗开颅与传统手术治疗高血压脑出血的临床分析
引用本文:谢海峰,彭文益,马何,范永东,吴克洪,胡刚.小骨窗开颅与传统手术治疗高血压脑出血的临床分析[J].重庆医学,2015(36).
作者姓名:谢海峰  彭文益  马何  范永东  吴克洪  胡刚
作者单位:重庆市铜梁区人民医院神经外科 402560
基金项目:重庆市卫生和计划生育委员会2014年医学科研计划基金资助项目
摘    要:目的:探讨小骨窗开颅微创血肿清除术和传统骨瓣开颅血肿清除术治疗高血压脑出血的效果。方法回顾性分析该院2010年1月至2014年10月采用2种手术方法治疗的高血压脑出血患者的临床资料。结果传统手术患者再出血概率较低,小骨窗微创手术能减少患者术后并发症、缩短住院时间,并能有效降低患者的致残率(P<0.05)。结论小骨窗开颅微创手术优于传统骨瓣开颅血肿清除术。

关 键 词:高血压  脑出血  小骨窗显微外科手术  常规开颅创伤

Clinical analysis on small skull-window microsurgical surgery and conventional trauma craniotomy in the treatment of hypertensive cerebral hemorrhage
Abstract:Objective To discuss the clinical efficacy between the small skull-window microsurgical surgery and conventional trauma craniotomy in the treatment of hypertensive cerebral hemorrhage .Methods The clinical data of patients with hypertensive cerebral hemorrhage treated with two different approaches from January 2010 to October 2014 were analyzed retrospectively .Re-sults The re-hemorrhage rate of patients treated with conventional trauma craniotomy was relatively low ,compared with patients treated with small skull-window microsurgical surgery .small skull-window microsurgical surgery was superior than conventional trauma craniotomy in the incidence of postoperative complications ,disability rate and patients′ hospitalization time(P< 0 .05) .Con-clusion Small skull-window microsurgical surgery is superior than conventional trauma craniotomy .
Keywords:hypertensive  cerebral hemorrhage  small skull-window microsurgical surgery  conventional trauma craniotomy
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