CAJ | 학술논문

目的：对比显微镜下开颅血肿清除术与微创锥颅血肿碎吸引流术对高血压脑出血病人的治疗效果。方法将40名高血压脑出血病人分为A、B两组，A组行显微镜下开颅血肿清除术，B组行微创锥颅血肿碎吸引流术，对比两组的疗效及预后。结果术后A组平均GCS评分为(10.02±3.67)分高于B组的(12.31±4.92)分( P<0.05)；出血率均为10%( P>0.05)；A组预后明显优于B组( P<0.05)。结论相较于微创锥颅血肿碎吸引流术，显微镜下开颅血肿清除术的临床效果与预后都更胜一筹。
목적：대비현미경하개로혈종청제술여미창추로혈종쇄흡인류술대고혈압뇌출혈병인적치료효과。방법장40명고혈압뇌출혈병인분위A、B량조，A조행현미경하개로혈종청제술，B조행미창추로혈종쇄흡인류술，대비량조적료효급예후。결과술후A조평균GCS평분위(10.02±3.67)분고우B조적(12.31±4.92)분( P<0.05)；출혈솔균위10%( P>0.05)；A조예후명현우우B조( P<0.05)。결론상교우미창추로혈종쇄흡인류술，현미경하개로혈종청제술적림상효과여예후도경성일주。
Objective to contrast microscope for removal of hematoma and minimally invasive craniotomy cone cranial hematoma broken attract lfow effect on the treatment of hypertensive cerebral hemorrhage patients. Methods 40 hypertension cerebral hemorrhage patients were divided into A, B two groups, group A line under A microscope for removal of hematoma, craniotomy group B line of minimally invasive cone cranial hematoma broken attract lfow, compared two groups of curative effect and prognosis. Results postoperative group A mean GCS score was (10.02+3.67) points higher than that of group B (12.31-4.92) (P<0.05);Hemorrhage rate was 10%(P>0.05);The prognosis of group A was better than group B (P<0.05). Conclusion compared with minimally invasive cone cranial hematoma broken attract lfow, under a microscope the clinical effect and prognosis of craniotomy hematoma removal is better.