CAJ | 학술논문

目的：探索微骨窗开颅术在外伤性脑内血肿的临应用价值。方法将125例需手术而不必去骨瓣减压的外伤性脑内血肿患者,随机分成两组,实验组66例,采用微骨窗开颅手术治疗；对照组59例,采用常规开颅手术治疗。对两组患者手术时间、术中出血量、治疗费用、术后血肿残留量、术后6个月GOS评分进行比较。结果实验组手术时间(62±15)min较对照组(109±54)min明显缩短(P<0.05)；实验组术中出血量(100±52)ml较对照组(500±101)ml明显减少(P<0.05)；实验组术后血肿残留量(6±2)ml与对照组(7±2.5)ml,两组比较无显著差异(P>0.05)；住院日期(12±5.5)d较对照组(16±6.5)d明显缩短(P<0.05)；实验组术后6个月GOS评分(4.55±0.30)与对照组(4.49±0.35),两组比较无显著差异(P>0.05)。结论微骨窗开颅术对于不必去骨瓣减压的外伤性脑内血肿能达到常规开颅术的临床疗效,但其手术时间、术中出血量、住院时间明显缩短,值得推广。
목적：탐색미골창개로술재외상성뇌내혈종적림응용개치。방법장125례수수술이불필거골판감압적외상성뇌내혈종환자,수궤분성량조,실험조66례,채용미골창개로수술치료；대조조59례,채용상규개로수술치료。대량조환자수술시간、술중출혈량、치료비용、술후혈종잔류량、술후6개월GOS평분진행비교。결과실험조수술시간(62±15)min교대조조(109±54)min명현축단(P<0.05)；실험조술중출혈량(100±52)ml교대조조(500±101)ml명현감소(P<0.05)；실험조술후혈종잔류량(6±2)ml여대조조(7±2.5)ml,량조비교무현저차이(P>0.05)；주원일기(12±5.5)d교대조조(16±6.5)d명현축단(P<0.05)；실험조술후6개월GOS평분(4.55±0.30)여대조조(4.49±0.35),량조비교무현저차이(P>0.05)。결론미골창개로술대우불필거골판감압적외상성뇌내혈종능체도상규개로술적림상료효,단기수술시간、술중출혈량、주원시간명현축단,치득추엄。
Objective To explore the clinical application value of the micro bone flap craniotomy hematoma in traumatic intracerebral hemorrhage.Methods Surgical trial in traumatic intracerebral hemorrhage (STITCH (Trauma): study protocol for a randomized control ed trial.125 cases of STITCH that needn't made decompressive Craniectomy divided randomly into two groups, 66 cases in the experimental group, the micro bone flap craniotomy operation treatment; 59 cases in the control group, routine craniotomy operation treatment. Comparison of the two groups of patients with operation time, intraoperative bleeding volume, the cost of treatment, postoperative residual hematoma volume, postoperative GOS score for June. Results The operation time of the experiment group was 62 ± 15min was significantly shorter than the control group (109±54)min ( <0.05);the experiment group, the intraoperative blood loss was (100±52)ml was significantly shorter than the control group (500±101)ml ( <0.05);the experiment group postoperative residual hematoma volume was (6±2)ml and control group (7±2.5)ml, comparison no significant dif erences between the two groups ( >0.05); date of hospitalization of (12±5.5) days than the control group 16±6.5 days significantly shortened ( <0.05); the experiment group after the June GOS score 4.55 ± 0.30 and 4.49 ± 0.35 in the control group, there was no significant dif erence between the two groups ( > 0.05). Conclusion The clinical curative ef ect of micro bone flap craniotomy for STITCH that needn't made decompressive Craniectomy within the reach of conventional craniotomy, but the operation time, intraoperative blood loss, hospitalization time was shortened obviously, worthy of promotion.