微创穿刺术与小骨窗开颅术治疗高血压脑出血的疗效比较  

Comparison of minimally invasive puncture and small bone window craniotomy in treatment of hypertensive intracerebral hemorrhage

作　　者：赵文卿[1] 赵俊[2] 

机构地区：[1]济南市第五人民医院神经外科,山东济南250022 [2]济南市第二人民医院,山东济南250001

出　　处：《中国现代医生》2017年第16期42-44,共3页China Modern Doctor

摘　　要：目的探讨微创穿刺术与小骨窗开颅术治疗高血压脑出血的疗效。方法选取2015年1月~2016年1月我院治疗的高血压脑出血患者60例作为研究对象,其中30例采用微创穿刺术(微创组),30例采用小骨窗开颅术(对照组),比较两组患者治疗后的临床疗效,以及两组患者治疗前后SSS评分、MRS评分的变化情况,并对两组患者的术后并发症发生率进行对比分析。结果治疗后,微创组的总有效率90.00%,显著高于对照组的70.00%(P<0.05)。微创组患者的SSS评分术后显著低于对照组、MRS评分术后显著低于对照组(P<0.05)。微创组的并发症发生率10.00%,显著低于对照组的33.33%(P<0.05)。结论微创穿刺术与小骨窗开颅术治疗高血压脑出血均取得了较好的疗效,但微创穿刺术患者术后恢复快、并发症少、能明显改善患者的神经功能,预后更好。Objective To investigate and compare the therapeutic effect of minimally invasive puncture and small bone window craniotomy for hypertensive cerebral hemorrhage. Methods 60 patients were selected in our hospital from January 2015 to January 2016, 30 cases of hypertensive cerebral hemorrhage were treated with minimally invasive surgery（minimally invasive group）, 30 cases were treated with small bone window craniotomy（control group）, the clinical efficacy of two groups were compared after treatment, and the changes of SSS score and MRS score before and after treatment were observed in the two groups, and the postoperative complications in the two groups were compared and analyzed.Results After treatment, the total effective rate of the minimally invasive group was 90.00%, which was significantly higher than that of the control group（70.00%）（P〈0.05）. After the operation,the SSS score in minimally invasive group was significantly lower than the control group, the scores of MRS were significantly lower than the control group（P〈0.05）.The complication rate of the minimally invasive group was 10.00%, significantly lower than that of the control group（33.33%）（P〈0.05）. Conclusion Minimally invasive puncture and small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage have achieved good curative effect, but patients with minimally invasive puncture and rapid postoperative recovery, less complications and improve the neurological function of patients with a better prognosis.

关 键 词：高血压脑出血 微创穿刺术 小骨窗开颅术 并发症 

分 类 号：R719.8[医药卫生—妇产科学]