高血压脑出血患者应用经侧裂显微手术治疗的效果  

The Effect of Using Microsurgery Through Lateral Fissure Craniotomy in the Treatment of Hypertensive Intracerebral Hemorrhage Patients

作　　者：丁涛 谢民[1] DING Tao;XIE Min(Department of Neurosurgery,the First Hospital of Lanzhou University,Lanzhou Gansu 730000,China)

机构地区：[1]兰州大学第一医院神经外科,甘肃兰州730000

出　　处：《中国卫生标准管理》2024年第11期70-73,共4页China Health Standard Management

摘　　要：目的对比高血压脑出血患者实施经侧裂显微手术与小骨窗开颅手术的效果。方法选取2022年8月—2023年8月兰州大学第一医院神经外科诊治的50例高血压脑出血患者,随机数字表法分为2组,各25例。参照组实施小骨窗开颅手术治疗,试验组实施经侧裂显微手术治疗。比较2组患者的手术指标、临床疗效及术后并发症发生情况。结果试验组患者手术时间(92.41±8.57)min、术后苏醒时间(6.34±1.25)h及住院时间(12.86±1.74)d,均短于参照组(124.65±12.39)min、(8.72±1.87)h、(16.25±2.38)d(P<0.05)。试验组手术造成的出血量为(80.34±6.57)mL,低于参照组的(152.85±10.84)mL(P<0.05)。试验组手术总有效率(100%)优于参照组(84.00%)(P<0.05)。试验组术后并发症发生率(4.00%)低于参照组(28.00%)(P<0.05)。结论经侧裂显微手术用于治疗高血压脑出血取得的临床疗效相比于小骨窗开颅手术更显著,可降低手术出血量,缩短手术时间,术后并发症相对较少。Objective To compare the effects of lateral fissure microsurgery and small bone window craniotomy in patients with hypertensive cerebral hemorrhage.Methods A total of 50 patients with hypertensive cerebral hemorrhage treated and treated by the department of neurosurgery in the First Hospital of Lanzhou University from August 2022 to August 2023 were divided into two groups,with 25 patients in each group.Small bone window craniotomy was performed in the reference group,while lateral cleat microsurgery was performed in the experimental group.The surgical indexes,clinical efficacy and postoperative complications of the two groups were statistically verified.Results The surgical time(92.41±8.57)minutes,postoperative recovery time(6.34±1.25)hours,and hospital stay(12.86±1.74)days in the experimental group were all shorter than those in the reference group(124.65±12.39)minutes,(8.72±1.87)hours,and(16.25±2.38)days(P<0.05).The amount of bleeding caused by surgery in the experimental group was(80.34±6.57)mL,which was lower than the reference group′s(152.85±10.84)mL(P<0.05).The total effective rate of surgery in the experimental group(100%)was better than that in the reference group(84.00%)(P<0.05).The incidence of postoperative complications in the experimental group(4.00%)was lower than that in the reference group(28.00%)(P<0.05).Conclusion The clinical effect of translateral fissure microsurgery in the treatment of hypertensive intracerebral hemorrhage is more significant than that of small bone window craniotomy,which can reduce the amount of surgical bleeding,shorten the operation time,and have relatively few postoperative complications.

关 键 词：高血压脑出血 经侧裂显微手术 小骨窗开颅手术 临床疗效 并发症 苏醒时间 

分 类 号：R544[医药卫生—心血管疾病]