超早期小骨窗微创清除高血压脑出血的效果  

The Effect of Minimally Invasive Removal of Hypertensive Cerebral Hemorrhage in the Ultraearly Small Bone Window

作　　者：刘明[1] 李浩[1] 刘丹 LIU Ming;LI Hao;LIU Dan(Neurosurgery Department,Qian Wei Hospital of Jilin Province,Changchun Jilin 130012,China;Nursing Department,Baicheng Central Hospital,Baicheng Jilin 137000,China)

机构地区：[1]吉林省前卫医院神经外科,吉林长春130012 [2]吉林省白城中心医院护理部,吉林白城137000

出　　处：《中国继续医学教育》2020年第31期100-103,共4页China Continuing Medical Education

摘　　要：目的分析超早期小骨窗微创清除高血压脑出血的效果。方法选取2018年7月—2019年6月医院收治的72例高血压脑出血患者进行研究,按照奇偶数法分组(每组36例),A组接受常规开颅血肿清除术治疗,B组接受超早期小骨窗微创脑出血清除术治疗,对比应用效果。结果B组血肿清除率为91.67%,高于A组的66.67%,差异有统计学意义(P<0.05);B组术后并发症发生率为5.56%,低于A组的22.22%,差异有统计学意义(P<0.05);B组治疗总有效率为83.33%,高于A组的61.11%,差异有统计学意义(P<0.05)。结论在高血压脑出血患者中采用超早期小骨窗微创脑出血清除术治疗,血肿清除率较高,术后并发症发生率低,临床治疗效果良好。Objective Analysis of the effect of minimally invasive removal of hypertensive cerebral hemorrhage in the ultra-early small bone window.Methods Seventy-two patients with hypertensive cerebral hemorrhage treated in our hospital from July 2018 to June 2019 were selected for study.They were grouped according to the even-odd method(36 cases in each group).Group A received conventional craniotomy for hematoma removal.The group received minimally invasive intracerebral hemorrhage removal in the ultra-early small bone window,and compared the application effects.Results The hematoma clearance rate in group B was 91.67%,which was higher than 66.67%in group A,and the difference was statistically significant(P<0.05);the postoperative complication rate in group B was 5.56%,which was lower than 22.22%in group A.The difference was statistical significance(P<0.05);the total effective rate of treatment in group B was 83.33%,which was higher than 61.11%in group A,and the difference was statistically significant(P<0.05).Conclusion In patients with hypertensive intracerebral hemorrhage,minimally invasive intracerebral hemorrhage removal with ultra-early small bone windows is used.The hematoma clearance rate is high,and the incidence of postoperative complications is low.

关 键 词：超早期 小骨窗微创清除术 高血压脑出血 血肿清除率 并发症发生率 治疗效果 

分 类 号：R743[医药卫生—神经病学与精神病学]