CAJ | 학술논문

目的探讨微创手术和开颅手术在治疗脑出血实践过程中的临床效果. 方法选取2010年12月至2014年12月我院收治的脑出血患者60例, 根据患者手术方式的不同分为微创手术组 (给予微创手术治疗) 和开颅手术组 (给予开颅手术治疗),每组患者30例. 观察并比较两组患者的手术时间、创口大小、住院时间、术中出血量以及治疗总有效率. 结果微创手术组患者的手术时间、住院时间以及术中出血量均显著少于开颅手术组, 创口大小显著小于开颅手术组, 差异均有统计学意义 (均P<0.05). 微创手术组的总有效率为93.33%, 显著高于开颅手术组的73.33%, 差异有统计学意义 (P<0.05). 结论与传统的开颅手术相比, 采用微创手术治疗脑出血的整体效果更好, 是临床治疗脑出血的理想手术方法.
목적 탐토미창수술화개로수술재치료뇌출혈실천과정중적림상효과. 방법 선취2010년12월지2014년12월아원수치적뇌출혈환자60례, 근거환자수술방식적불동분위미창수술조 (급여미창수술치료) 화개로수술조 (급여개로수술치료),매조환자30례. 관찰병비교량조환자적수술시간、 창구대소、 주원시간、 술중출혈량이급치료총유효솔. 결과 미창수술조환자적수술시간、 주원시간이급술중출혈량균현저소우개로수술조, 창구대소현저소우개로수술조, 차이균유통계학의의 (균P<0.05). 미창수술조적총유효솔위93.33%, 현저고우개로수술조적73.33%, 차이유통계학의의 (P<0.05). 결론 여전통적개로수술상비, 채용미창수술치료뇌출혈적정체효과경호, 시림상치료뇌출혈적이상수술방법.
Objective To explore the clinical effects of minimally invasive surgery and craniotomy in the treatment of cerebral hemorrhage. Methods Sixty patients with cerebral hemorrhage in our hospital from December 2010 to December 2014 were selected. According to the operation mode, all patients were divided into minimally invasive surgery group (receiving minimally invasive surgical treatment) and craniotomy group (receiving craniotomy treatment), with 30 patients in each group. The operation time, wound size, length of hospital stay, intraoperative bleeding volume and the total efficiency of treatment were compared between the two groups. Results The operation time, wound size, the length of hospital stay, intraoperative bleeding volume of minimally invasive surgery group were significantly better than those of craniotomy group, with statistically significant difference(all P<0.05). The total efficiency of treatment of minimally invasive surgery group was 93.33%, significantly higher than 73.33%of craniotomy group (P<0.05). Conclusions Compared with the traditional surgical treatment, minimally invasive surgical treatment has better clinical overall effect for cerebral hemorrhage, which is an ideal surgical method for clinical treatment of cerebral hemorrhage.