小骨窗微创手术与传统手术治疗脑出血疗效对比  

Effect comparison between minimally invasive surgery of small bone window and traditional surgical on cerebral hemorrhage

作　　者：陈靖奇[1] 杨炼球[1] 熊明[1] 孙学志[1] 

机构地区：[1]益阳市中心医院,湖南益阳413000

出　　处：《中医临床研究》2018年第9期34-35,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨小骨窗微创手术与传统手术治疗脑出血疗效对比。方法:将2016年7月-2017年7月在我院神经外科治疗的78例脑出血患者随机分为两组,对照组采用传统手术治疗,观察组采用小骨窗微创手术治疗,比较两组患者的手术疗效、各项手术指标、并发症发生情况。结果:观察组血肿清除率为94.87%、预后良好率为84.62%,明显高于对照组的82.05%,66.67%,差异有统计学意义(P<0.05);观察组手术时间、术中出血量、入住ICU时间与对照组相比有明显差异(P<0.05);观察组术后颅内感染、肺部感染、并发脑梗死等并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:小骨窗微创手术治疗脑出血疗效更佳,有利于提高血肿清除效果,缩短术后恢复时间,改善患者预后,且并发症发生率更低,具有积极的临床意义。Objective： To explore the effect comparison between minimally invasive surgery of small bone window and traditional surgical on cerebral hemorrhage. Methods： 78 patients with intracerebral hemorrhage in the department of neurosurgery in our hospital from July 2016 to July 2017 were randomly divided into two groups. The control group was treated by traditional operation, while the observation group received minimally invasive surgery with small bone window. The operative outcomes, operative indicators and complications were compared between two groups. Results： The hematoma clearance rate and good prognosis rate of the observation group was 94.87% and 82.05% respectively, which was significantly higher than that in the control group, 82.05% and 66.67% respectively, the difference was of statistical significance（P〈0.05）; The operation time, the amount of bleeding during the operation, and the time of staying at ICU of the observation group were significantly different from those of the control group（P〈0.05）; The incidence of postoperative complications such as intracranial infection, pulmonary infection and cerebral infarction in the observation group was significantly lower than that in the control group, the difference was of statistical significance（P〈0.05）. Conclusion： Small bone window minimally invasive surgery had a better effect in treating intracerebral hemorrhage, it was beneficial to improve hematoma clearance effect, shorten postoperative recovery time, improve patient prognosis and lower complication rate, and had a positive clinical significance.

关 键 词：脑出血 小骨窗微创手术 传统手术 疗效对比 

分 类 号：R255.2[医药卫生—中医内科学]