小骨瓣经侧裂入路血肿清除术在高血压脑出血中的应用效果研究  

Application Effect of Small Bone Flap Through Lateral Fissure Approach For Hematoma Removal of Hypertensive Intracerebral Hemorrhage

作　　者：郑亚北 ZHENG Yabei(Neurosurgery Department,Baoding City Rongcheng County People's Hospital,Baoding,Hebei,071700)

机构地区：[1]河北省保定市容城县人民医院神经外科,河北保定071700

出　　处：《智慧健康》2024年第3期73-77,共5页Smart Healthcare

摘　　要：目的 探析对高血压脑出血(HICH)应用小骨瓣经侧裂入路血肿清除术治疗的效果。方法 选取2020年1月—2023年3月本院收治的64例HICH患者作为实验对象,采用随机数字表法分组,对照组(n=32)传统开颅去骨瓣手术治疗,观察组(n=32)小骨瓣经侧裂入路血肿清除术治疗,对比分析两组临床疗效。结果 观察组术中出血量比对照组更少,手术时间、术后昏迷时间、住院时间比对照组更短,血肿清除率比对照组更高(P<0.05)。术后1个月、3个月,患者病死率差异不明显(P>0.05);术后1个月、3个月,患者日常生活能力改善,两组相比观察组评分更高(P<0.05)。观察组术后并发症发生率低于对照组,数据差异显著(P<0.05)。观察组总有效率比对照组更高(P<0.05)。结论 对HICH患者行小骨瓣经侧裂入路血肿清除术治疗疗效确切,有助于减少患者术中出血量,缩短患者术后康复时间,增强患者日常生活能力,减少术后并发症发生,推广价值较高。Objective To explore effect of small bone flap through lateral fissure approach for hematoma removal in treatment of hypertensive intracerebral hemorrhage(HICH).Methods The paper chose 64 HICH patients admitted to our hospital from January 2021 to March 2023 as experimental subjects,and divided them into two groups randomly with number table method.Control group(n=32)was treated with traditional craniotomy and bone flap surgery,while observation group(n=32) with small bone flap surgery for hematoma removal through lateral fissure approach.Clinical effect between two groups was compared and analyzed.Results Observation group had less intraoperative bleeding,shorter surgical time,postoperative coma time,and length of stay,and higher hematoma clearance rate than control group(P<0.05).There was no significant difference in mortality rates between 1 and 3 months after surgery(P> 0.05).After 1 month and 3 months of surgery,daily living ability scores in observation group were higher(P<0.05).Incidence of postoperative complications in observation group and control group was 37.50% and 87.50% respectively,with significant difference(P< 0.05).Total effective rate of observation group was 78.13%,higher than 53.13% in control group(P<0.05).Conclusion Small bone flap through lateral fissure approach can achieve definite curative effect for hematoma removal of HICH patients,can reduce intraoperative bleeding,shorten postoperative recovery time,enhance daily living ability and reduce postoperative complications,which has high promotion value.

关 键 词：小骨瓣经侧裂入路血肿清除术 高血压脑出血 应用效果 

分 类 号：R651.12[医药卫生—外科学]