CAJ | 학술논문

目的研究小骨窗开颅术与大骨瓣开颅术对高血压脑出血的治疗效果.方法对2007至2011年间收治的80例高血压脑出血患者随机分为实验组和对照组各40例,实验组使用小骨窗开颅术,对照组使用大骨瓣开颅血肿清除术进行治疗,对两组患者治疗效果及并发症情况进行观察和比较.结果对照组患者痊愈3例,显著改善22例,有效率62.5％；实验组痊愈5例,显著改善30例,有效率87.5％,实验组显著高于对照组(P＜0.05).实验组患者肺部感染发生率30％,显著低于对照组的52.5％(P＜ 0.05),其余并发症两组比较差异无显著性(P＞0.05).结论小骨窗开颅术比大骨瓣开颅血肿清除术有更好的治疗效果而操作更简便,术后并发症更少,是一种理想的手术方案.
목적 연구소골창개로술여대골판개로술대고혈압뇌출혈적치료효과.방법 대2007지2011년간수치적80례고혈압뇌출혈환자수궤분위실험조화대조조각40례,실험조사용소골창개로술,대조조사용대골판개로혈종청제술진행치료,대량조환자치료효과급병발증정황진행관찰화비교.결과 대조조환자전유3례,현저개선22례,유효솔62.5％；실험조전유5례,현저개선30례,유효솔87.5％,실험조현저고우대조조(P＜0.05).실험조환자폐부감염발생솔30％,현저저우대조조적52.5％(P＜ 0.05),기여병발증량조비교차이무현저성(P＞0.05).결론소골창개로술비대골판개로혈종청제술유경호적치료효과이조작경간편,술후병발증경소,시일충이상적수술방안.
Objective To research the effective of small bone window craniotomy(SBWC) and routine craniotomy(RC) on hypertensive cerebral hemorrhage(HICH).Method 80 HICH patients were randomly divided into control group and experimental group from 2007 to 2011.Control group was treated with RC,while experimental group was treated with SBWC.Results Control group had 3 cured,22 improved with effective rate of 62.5％; experimental group had 5 cured,30 improved with effective rate of 87.5％.The effect of experimental group was significantly better than that of control group(P＜ 0.05).The lung infection rate of experimental group was 30％,which was lower than 52.5％ of control group(P ＜ 0.05).Conclusion The SBWC has better effect than RC,while the 5BWC is more convenient and has less complication.