中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
16期
42-44
,共3页
高血压脑出血%小骨窗%治疗
高血壓腦齣血%小骨窗%治療
고혈압뇌출혈%소골창%치료
Hypertensive cerebral hemorrhage%A small bone window craniotomy%Treatment
目的：探讨小骨窗开颅血肿清除手术治疗高血压脑出血的临床疗效。方法将2009年1月~2012年12月本院收治并行手术治疗的84例高血压脑出血患者随机分为大骨瓣开颅组(42例)和小骨窗开颅组(42例)。对两组患者的近远期疗效、血肿清除率、再出血情况等进行比较。结果术后21 d患者生活能力评定(按ADL分级)，小骨窗组明显优于大骨瓣组(P<0.05)；术后小骨窗组残留血肿量为(9±1)ml，明显少于大骨瓣开颅组的(15±3)ml(P<0.05)；术后12 h小骨窗组有2例(4.76%)再出血，大骨瓣组有8例(19.05%)发生再出血，两组再出血率差异有统计学意义(P<0.05)。结论小骨窗开颅血肿清除术能提高高血压脑出血患者的疗效，降低再出血率。
目的：探討小骨窗開顱血腫清除手術治療高血壓腦齣血的臨床療效。方法將2009年1月~2012年12月本院收治併行手術治療的84例高血壓腦齣血患者隨機分為大骨瓣開顱組(42例)和小骨窗開顱組(42例)。對兩組患者的近遠期療效、血腫清除率、再齣血情況等進行比較。結果術後21 d患者生活能力評定(按ADL分級)，小骨窗組明顯優于大骨瓣組(P<0.05)；術後小骨窗組殘留血腫量為(9±1)ml，明顯少于大骨瓣開顱組的(15±3)ml(P<0.05)；術後12 h小骨窗組有2例(4.76%)再齣血，大骨瓣組有8例(19.05%)髮生再齣血，兩組再齣血率差異有統計學意義(P<0.05)。結論小骨窗開顱血腫清除術能提高高血壓腦齣血患者的療效，降低再齣血率。
목적：탐토소골창개로혈종청제수술치료고혈압뇌출혈적림상료효。방법장2009년1월~2012년12월본원수치병행수술치료적84례고혈압뇌출혈환자수궤분위대골판개로조(42례)화소골창개로조(42례)。대량조환자적근원기료효、혈종청제솔、재출혈정황등진행비교。결과술후21 d환자생활능력평정(안ADL분급)，소골창조명현우우대골판조(P<0.05)；술후소골창조잔류혈종량위(9±1)ml，명현소우대골판개로조적(15±3)ml(P<0.05)；술후12 h소골창조유2례(4.76%)재출혈，대골판조유8례(19.05%)발생재출혈，량조재출혈솔차이유통계학의의(P<0.05)。결론소골창개로혈종청제술능제고고혈압뇌출혈환자적료효，강저재출혈솔。
Objective To explore the clinical efficacy of small bone window craniotomy in the treatment of hypertensive intracranial hematoma. Methods A total of 84 cases of patients with hypertensive intracranial hematoma were enrolled in this study from January 2009 to December 2012 and were divided into large trauma craniotomy group (42 cases) and small bone window craniotomy group (42 cases),were treated with large trauma craniotomy and small bone window cran-iotomy,respectively. Average expense,average hospitalization time,the rate of complications and short-term and long-term effects,hematoma clearance,rebleeding rate were compared. Results The patients'viability (ADL classification) 21 days after operation was higher in small bone window craniotomy group compared with large trauma craniotomy group (P<0.05).The residual hematoma was (9±1) ml in small bone window craniotomy group,while the residual hematoma was (15±3) ml in large trauma craniotomy group,the difference was significant (P<0.05).2 cases (4.76%) in small bone win-dow craniotomy group and 8 cases (19.05%) in large trauma craniotomy group had the incident of rebleeding,the dif-ference of two groups was significant (P<0.05). Conclusion Small bone window craniotomy is better than large trauma craniotomy in the treatment of hypertensive intracranial hematoma in the area of higher curative rates and lower re-bleeding rates.
