CAJ | 학술논문

目的：比较并分析小骨窗血肿抽吸术与传统骨瓣开颅血肿清除术治疗幕上高血压脑出血的临床疗效。方法幕上高血压脑出血患者100例，采用随机数字表法分为对照组和试验组，各50例，对照组采用传统骨瓣开颅血肿清除术，试验组采用小骨窗血肿抽吸术，比较两组临床疗效。结果试验组治疗的总有效率为96.00%，对照组治疗的总有效率为70.00%，两组总有效率比较差异有统计学意义(P<0.05)。试验组手术时间和术中出血量明显少于对照组，两组差异具有统计学意义(P<0.05)。结论对于幕上高血压脑出血采用小骨窗血肿抽吸术的临床效果较为明显，值得临床应用推广。
목적：비교병분석소골창혈종추흡술여전통골판개로혈종청제술치료막상고혈압뇌출혈적림상료효。방법막상고혈압뇌출혈환자100례，채용수궤수자표법분위대조조화시험조，각50례，대조조채용전통골판개로혈종청제술，시험조채용소골창혈종추흡술，비교량조림상료효。결과시험조치료적총유효솔위96.00%，대조조치료적총유효솔위70.00%，량조총유효솔비교차이유통계학의의(P<0.05)。시험조수술시간화술중출혈량명현소우대조조，량조차이구유통계학의의(P<0.05)。결론대우막상고혈압뇌출혈채용소골창혈종추흡술적림상효과교위명현，치득림상응용추엄。
Objective To comparatively analyze the clinical effects between small window craniotomy hematoma suction and traditional craniotomy hematoma evacuation in the treatment of supratentorial hypertensive intracerebral hemorrhage.Methods A total of 100 patients with supratentorial hypertensive intracerebral hemorrhage were divided by random number table into control group and experimental group with 50 cases in each group. The control group received traditional craniotomy hematoma evacuation, and the experimental group received small window craniotomy hematoma suction. Curative effects were compared between the two groups. Results The total effective rate was 96.00%, and that of the control group was 70.00%. The difference between the two groups had statistical significance (P<0.05). The experimental group had much less operation time and intraoperative bleeding volume than the control group, and the difference had statistical significance (P<0.05). Conclusion Implement of small window craniotomy hematoma suction has precise effect for supratentorial hypertensive intracerebral hemorrhage, and this method is worth clinical promotion and application.