不同手术方式治疗高血压脑出血患者的临床研究

目的比较分析去骨瓣开颅术、小骨窗血肿清除术及微创血肿清除术对高血压脑出血患者的治疗效果。方法将195例高血压脑出血患者随机分为去骨瓣开颅术组（A组）、小骨窗血肿清除术组（B组）、微创血肿清除术组（C组）各65例。比较各组手术时间、术中出血、住院时间、术后神经功能改善情况、日常生活活动能力恢复情况及再出血情况。结果临床疗效比较,A、B组差异无统计学意义（P〉0.05）,但C组优于A、B组（P〈0.01）C组在手术时间、住院时间、术中出血、术后再出血发生率、术后神经功能恢复及ADL能力恢复方面均优于A组、B组（P〈0.05或P〈0.01）。结论微创血肿清除术的手术时间及住院时间短,术中出血少,术后再出血发生率较低,术后神经功能恢复及ADL能力恢复均优于去骨瓣开颅术及小骨窗血肿清除术,值得临床推广使用。

不同手术方式治疗高血压脑出血患者的临床研究

Objective To contrast the therapeutic efficacy in hypertensivc cerebral hemorrhagc patients curing by cleaning up intracranial hematoma using craniotomy,subtle-wound operation and bonelet window operation.Methods 195 hypertensivc cerebral hemorrhagc patients were randomly divided into craniotomy group（A group）,subtle-wound operation group（B group） and bonelet window operation group（C group） every group 65 patients.The time of operation,the bleeding,length of stay,nerve function amelioration and the activities of daily living（ADL） were compared.Results The therapeutic effect has not statistically signifi cant between A and B group（P0.05）,but C group was better than them（P0.01）.And the time of operation,the bleeding,length of stay,nerve function amelioration and the activities of daily living（ADL）in the C group were superior to the other groups（P0.05 or P0.01）.Conclusion Subtle-wound operation can evidently reduce the operation time and length of stay,less bleeding and bleeding again after operation,improve nerve function amelioration and the ADL and reduce the complications.It deserves clinical use.