两种不同切口开颅清除自发性高血压性基底节区脑内血肿效果对比分析  

Efficacy of craniotomy by 2 different incisions on clearing intracerebral hematoma(IH) in the basal ganglia of patients with spontaneously hypertensive(SHR)

作　　者：舒宇峰 叶碎林[2] 

机构地区：[1]浙江省庆元县人民医院神经外科,浙江庆元323800 [2]浙江省丽水市人民医院神经外科,浙江丽水323000

出　　处：《中国现代医生》2015年第5期23-25,28,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划(2010KYB134)

摘　　要：目的比较两种不同切口开颅清除自发性高血压性基底节区脑内血肿的效果。方法选择2011年1月-2014年1月在我院住院治疗的自发性高血压性基底节区脑出血患者200例,按照切口方法分成观察组和对照组各100例,观察组采取钻孔血肿清除术,对照组采用开小骨窗血肿清除术,对比两组患者在手术情况、术后并发症等方面的不同。结果观察组手术耗时、住院天数、术后2 d血肿引流量均明显少于对照组（P〈0.05）;并发症发生率明显低于对照组（P〈0.05）。结论对自发性高血压性基底节区脑内血肿采取钻孔血肿清除术,能够缩短手术时间和住院时间,提高患者疗效,降低术后各种并发症的发生率,安全有效,值得临床推广。Objective To compare the effect of two different incisions craniotomy to remove the basal ganglia in spontaneously hypertensive intracerebral hematoma. Methods A total of 200 patients with spontaneously hypertensive cerebral hemorrhage in basal ganglia were selected from January 2011 to January 2014 in our hospital, they were divided into observation group and control group according to the incision methods, each of 100 cases, the observation group used drilling hematoma dissection, the control group used open a small bone window hematoma, different situations in terms of surgery, postoperative complications of two groups were compared. Results The operative time-consuming, the number of days in hospital, two days after hematoma drainage of the observation group were significantly less than the control group（P〈0.05）; Complication rate was significantly lower than the control group（P〈0.05）. Conclusion Basal ganglia of spontaneously hypertensive intracerebral hematoma take drilling hematoma, can shorten the operation time and hospital stay, improve patient outcomes, reduce the incidence of postoperative complications, it is safe, effective and worthy of promotion.

关 键 词：自发性高血压脑内血肿 手术 开颅 切口 

分 类 号：R651.1[医药卫生—外科学]