小骨窗開顱與常規(guī)骨瓣開顱治療高血壓腦出血的療效分析

　　[摘要] 目的 探討小骨窗開顱與常規(guī)骨瓣開顱治療高血壓腦出血的臨床效果。方法 方便選取2012年5月—2016年5月來該院治療高血壓腦出血患者117例，并將患者按隨機(jī)原則分為2組。所有患者經(jīng)CT掃描為幕上出血。對(duì)照組（58例）患者行常規(guī)骨瓣開顱手術(shù)治療，實(shí)驗(yàn)組（59例）患者行小骨窗開顱手術(shù)治療，對(duì)兩組患者臨床治療效果及術(shù)后并發(fā)癥發(fā)生情況進(jìn)行比較。結(jié)果 經(jīng)過比較發(fā)現(xiàn)，對(duì)照組治療有效率為65.52%，實(shí)驗(yàn)組治療有效率為79.66%，實(shí)驗(yàn)組患者治療有效率顯著高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。另外，實(shí)驗(yàn)組術(shù)后并發(fā)癥發(fā)生率為27.12%，對(duì)照組術(shù)后并發(fā)癥發(fā)生率為41.38%。實(shí)驗(yàn)組患者長(zhǎng)期昏迷和中殘率低于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 小骨窗開顱術(shù)與常規(guī)骨瓣開顱術(shù)都是治療高血壓腦出血的常用術(shù)式，但小骨窗開顱術(shù)治療高血壓腦出血患者效果顯著優(yōu)于常規(guī)骨瓣開顱術(shù)，可在臨床上推廣應(yīng)用。
　　[關(guān)鍵詞] 小骨窗開顱術(shù)；常規(guī)骨瓣開顱；高血壓腦出血
　　[中圖分類號(hào)] R651.1 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2018）01（c）-0110-03
　　[Abstract] Objective This paper tries to investigate the clinical effect of small bone window craniotomy and conventional craniotomy in the treatment of hypertensive intracerebral hemorrhage. Methods 117 patients with hypertensive intracerebral hemorrhage were convenient selected from May 2012 to May 2016 in this hospital， and the patients were divided into 2 groups according to the principle of randomization. All patients were supratentorial hemorrhage by CT scan. The control group underwent conventional craniotomy treatment， the experimental group were treated with small bone window craniotomy treatment， compared two groups of patients with clinical effect and postoperative complications. Results Through the comparison， the effective rate of the control group was 65.52%， the effective rate of the experimental group was 79.66% in the experimental group（59 cases） the effective rate of treatment was significantly higher than the control group （58 cases）， there was statistical significance（P<0.05）. In addition， the incidence of postoperative complications in the experimental group was 27.12%， and the incidence of postoperative complications in the control group was 41.38%. The long-term coma and residual rate in the experimental group were lower than those in the control group， with statistical significance （P<0.05）. Conclusion Small bone window craniotomy and routine craniotomy are commonly used in the treatment of hypertensive cerebral hemorrhage， but small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage patients is significantly better than conventional craniotomy， can be widely applied in clinical practice.
　　[Key words] Small bone window craniotomy； Routine bone flap craniotomy； Hypertensive cerebral hemorrhage
　　高血壓腦出血是臨床上常見腦血管疾病，臨床上致殘率致死率都很高，是腦血管疾病中首位，對(duì)患者生命安全產(chǎn)生嚴(yán)重威脅[1]。高血壓腦出血患者占卒中患者的20%左右，通常病情十分危急，存活者也多出現(xiàn)嚴(yán)重病殘。在臨床上治療高血壓腦出血多采用手術(shù)治療，常用術(shù)式有小骨窗開顱術(shù)與常規(guī)骨瓣開顱術(shù)[2]。但針對(duì)其治療效果臨床上并不確定，為探討2種術(shù)式治療高血壓腦出血的實(shí)際效果，該研究方便選取2012年5月—2016年5月來該院治療高血壓腦出血患者117例，并將患者按隨機(jī)原則分為2組。現(xiàn)報(bào)道如下。

相關(guān)熱詞搜索：開顱 腦出血 療效 治療高血壓 常規(guī)