小骨窗开颅手术治疗高血压脑出血的效果观察  

The Effect of Small Bone Window Craniotomy in the Treatment of Hypertensive Cerebral Hemorrhage

作　　者：庄伟[1] 谢培[1] 周建梁[1] 

机构地区：[1]江苏省常州市第三人民医院神经外科,江苏常州213001

出　　处：《中国继续医学教育》2016年第18期92-93,共2页China Continuing Medical Education

摘　　要：目的 研究分析小骨窗开颅手术治疗高血压脑出血的效果。方法选取在我院治疗的高血压脑出血患者100例（2014年6月-2016年2月）。将其随机化分2组,研究组和对照组各50例。对照组患者给予大骨瓣开颅手术进行治疗,研究组患者给予小骨窗开颅手术治疗,对比两组患者术中出血量、手术时间、术中输血量及血肿清除程度。结果 研究组患者术中出血量、手术时间、术中输血量及血肿清除程度分别为（173.09±31.24）ml、（2.11±0.54）h、（140.22±27.31）ml、（0.96±0.05）%,与对照组比较存在明显差异（P〈0.05）。结论 采用小骨窗开颅手术对高血压脑出血患者进行治疗的效果显著。Objective To study the effect of small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage. Methods 100 cases with hypertensive cerebral hemorrhage from June 2014 to February 2016 were divided into two groups, each of 50 cases. Two groups of patients were treated with large bone flap craniotomy with small bone window craniotomy. Clinical efficacy of two groups was compared. Results Intraoperative blood loss, operation time, intraoperative blood transfusion volume and the extent of hematoma clearance of study group were （173.09±31.24） ml, （2.11±0.54） h, （140.22±27.31） ml, （0.96±0.05） %, which were significant difference with control group （P〈0.05）. Conclusion Small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage shows good clinical efficacy.

关 键 词：小骨窗开颅手术 高血压脑出血 效果 

分 类 号：R651.12[医药卫生—外科学]