CAJ | 학술논문

目的：分析脑出血患者开颅血肿清除术与微创手术两种治疗方法的疗效。方法选取我院行手术治疗的脑出血患者50例。随机分为两组，观察组采用微创手术，对照组采用传统骨瓣开颅手术，记录患者术后的意识状况，术后并发症及术后3个月的生活能力。结果术后2周微创手术意识障碍6例，常规开颅手术意识障碍7例，两组患者间差异无统计学意义（P>0.05）；术后3个月微创治疗组死亡共5例，常规开颅手术组死亡8例，两组比较差异有统计学意义（P<0.05），除去植物状态及死亡患者，两组间日常生活能力评分（ALD）差异无统计学意义（P>0.05）。结论微创治疗组的预后优于常规开颅手术组。
목적：분석뇌출혈환자개로혈종청제술여미창수술량충치료방법적료효。방법선취아원행수술치료적뇌출혈환자50례。수궤분위량조，관찰조채용미창수술，대조조채용전통골판개로수술，기록환자술후적의식상황，술후병발증급술후3개월적생활능력。결과술후2주미창수술의식장애6례，상규개로수술의식장애7례，량조환자간차이무통계학의의（P>0.05）；술후3개월미창치료조사망공5례，상규개로수술조사망8례，량조비교차이유통계학의의（P<0.05），제거식물상태급사망환자，량조간일상생활능력평분（ALD）차이무통계학의의（P>0.05）。결론미창치료조적예후우우상규개로수술조。
Objective Patients with craniotomy hematoma removal of two kinds of treatment methods of surgery and minimaly invasive operation analysis of cerebral hemorrhage.Methods In our hospital for operation treatment of 50 patients with cerebral hemorrhage. The observation group with minimaly invasive operation, the control group used traditional craniotomy operation.ResultsSix cases of minimaly invasive operation consciousness obstacle 2 weeks postoperative craniotomy operation, 7 cases of disturbance of consciousness, no statisticaly significant difference between the two groups of patients (P> 0.05); 3 months after surgery, minimaly invasive treatment of group ADL5 died 5 cases, conventional craniotomy operation in group ADL5 and 8 cases of death, the difference between the two groups had statistical significance (P< 0.05), the removal of vegetative state and patients, no statisticaly significant difference life ability scores between the two groupsP> 0.05).ConclusionMinimaly invasive treatment group is superior to conventional craniotomy operation group, prognosis.