小骨窗开颅术治疗中等量基底节区高血压脑出血的疗效观察

目的：探讨小骨窗开颅术治疗中等量基底节区高血压脑出血的临床疗效。方法：将65例中等量基底节区高血压脑出血患者分为观察组（n=34）和对照组（n=31），观察组给予小骨窗开颅术治疗，对照组给予颞叶微创穿刺引流术治疗，观察两组患者治疗效果。结果：观察组血肿清除率明显高于对照组（P〈0.05）；观察组治疗总有效率为97.06%（33/34），明显高于对照组的77.42%（24/31）（P〈0.05）；两组术后并发症及死亡率比较差异无统计学意义（P〉0.05）。结论：小骨窗开颅术治疗中等量基底节区高血压脑出血具有创伤小、恢复快、血肿清除彻底等优点，可作为目前治疗中等量基底节区高血压脑出血的一种首选治疗方案。

Observation on the Efficacy of Small Bone Window Craniotomy on Moderate Basal Ganglia Hypertensive Cerebral Hemorrhage

Objective：To investigate the clinical efficacy of small bone window craniotomy on the treatment of moderate basal ganglia hypertensive cerebral hemorrhage. Method：65 cases of moderate basal ganglia hypertensive cerebral hemorrhage were divided into the observation group（n=34）and the control group（n=31）. The observation group was treated with small bone window craniotomy,while the control group was treated with minimally invasive puncture drainage of temporal lobe. Observed the treatment efficacy of both groups. Result：Clearance rate was significantly in the observation group was higher than the control group（P〈0.05）. Total effective rate in the observation group was 97.06%（33/34）,significantly higher than 77.42%（24/31）of the control group（P〈0.05）. There was no significant difference between both groups in post-operative complications and mortality（P〉0.05）. Conclusion：With the qualities of small traumas,quick recovery and thorough clearance of hematoma,small bone window craniotomy can currently serve as a priority on the treatment of moderate basal ganglia hypertensive cerebral hemorrhage.