骨窗开颅与骨瓣开颅术治疗高血压脑出血的疗效对比分析  

Clinical Effect Comparison of Bone Window Craniotomy and Bone Flap Craniotomy in Treatment of Hypertensive Intracerebral Hemorrhage

作　　者：刘胜华[1] 姚庆宁[1] 唐协林[1] 黎乾科[1] 赵超[1] 钟俊[1] 肖奎[1] 周政[2] 

机构地区：[1]川北医学院附属三台医院神经外科,四川绵阳621100 [2]第三军医大学新桥医院神经外科,重庆404100

出　　处：《现代生物医学进展》2015年第21期4102-4104,共3页Progress in Modern Biomedicine

摘　　要：目的:研究骨窗开颅与骨瓣开颅术治疗高血压脑出血的临床疗效。方法:选取2010年1月到2014年1月我院收治的高血压脑出血患者50例,按照随机数字表法将患者分为A组和B组,每组25例,A组给予骨窗开颅手术治疗,B组给予骨瓣开颅手术治疗,比较两组治疗的总有效率、死亡率以及并发症发生率。结果:A组总有效率为92.0%,显著高于对照组的64.0%,比较差异具有统计学意义(P<0.05);两组病死率比较差异无统计学意义(P>0.05);A组并发症的发生率显著低于B组,比较差异具有统计学意义(P<0.05)。结论:骨窗开颅手术治疗高血压脑出血具有较高的临床疗效,且其并发症显著低于骨瓣开颅术。Objective： To study the clinical effect of bone window craniotomy and bone flap craniotomy in treatment of hyperten- sive intracerebral hemorrhage. Methods： Selected 50 cases of patients with hypertensive intracerebral hemorrhage who were treated in our hospital from January 2010 to January 2014, they were divided into group A and group B according to the random number table method, with 25 patients in each group. Group A was underwent bone window craniotomy, while the group B was underwent bone flap craniotomy, then compared the total effective rate, mortality and incidence of complications in two groups after the craniotomy. Results： Total effective rate of group A was 92.0%, which was significantly higher than 64.0% in group B, the difference was statistically signifi- cant（P〈0.05）; Mortality in two groups had no significant difference（P〉0.05）; The incidence of complications of group A was significantly lower than group B, the difference was statistically significant （P〈0.05）. Conclusion： Bone window craniotomy has a better clinical effect in treatment of hypertensive intracerebral hemorrhage, and its incidence of complications was significantly lower than bone flap craniotomy.

关 键 词：高血压 脑出血 骨窗开颅 骨瓣开颅 

分 类 号：R743.34[医药卫生—神经病学与精神病学]