CAJ | 학술논문

目的分析小骨窗开颅血肿清除手术与颅骨钻孔穿刺外引流血肿手术治疗高血压脑出血的临床疗效.方法本文选择了2009年2月至2011年2月来我院治疗高血压脑出血患者60例,将其随机分为观察组与对照组,每组30例,观察组患者接受小骨窗开颅血肿清除手术治疗,对照组患者接受颅骨钻孔穿刺外引流血肿手术治疗,比较两种方法的治疗效果.结果观察组患者的手术时间为(1.04±0.36)h,术中出血量为(50.57±5.08)ml,住院时间为(11.09±1.06)d；对照组患者的手术时间为(2.86±1.02)h,术中出血量为(185.83±11.76)ml,住院时间为(21.32±5.16)d,两组结果比较具有显著差异(P<0.05).观察组患者治疗效果优12例,良8例；对照组患者治疗效果优5例,良10例,其结果具有显著差异(P<0.05).结论小骨窗开颅血肿清除手术的治疗方法具有手术时间短,住院时间短,手术创伤小等优点,治疗效果好,对患者神经功能的恢复有很大帮助,值得临床推广使用.
목적분석소골창개로혈종청제수술여로골찬공천자외인류혈종수술치료고혈압뇌출혈적림상료효.방법본문선택료2009년2월지2011년2월래아원치료고혈압뇌출혈환자60례,장기수궤분위관찰조여대조조,매조30례,관찰조환자접수소골창개로혈종청제수술치료,대조조환자접수로골찬공천자외인류혈종수술치료,비교량충방법적치료효과.결과관찰조환자적수술시간위(1.04±0.36)h,술중출혈량위(50.57±5.08)ml,주원시간위(11.09±1.06)d；대조조환자적수술시간위(2.86±1.02)h,술중출혈량위(185.83±11.76)ml,주원시간위(21.32±5.16)d,량조결과비교구유현저차이(P<0.05).관찰조환자치료효과우12례,량8례；대조조환자치료효과우5례,량10례,기결과구유현저차이(P<0.05).결론소골창개로혈종청제수술적치료방법구유수술시간단,주원시간단,수술창상소등우점,치료효과호,대환자신경공능적회복유흔대방조,치득림상추엄사용.
To explore the curative effect of two different operative: small skull-window craniotomy and cranial burrholehemaroma nyxis external drainage for the treatment ofhypertensive cerebralhemorrhage.Methods:60 cases withhypertension-induced cerebralhemorrhage in ourhospital from February 2009 to February 2011 were randomly assigned to observation group and control group, and 30 cases in each, patients in observation group receive small skull-window craniotomy, and others receive cranial burrholehemaroma nyxis external drainage. The clinical effects were compared between the two groups. Results: the surgical duration, bleeding volume, length ofhospital stay were better in the observation group with the corresponding data of (1.04±0.36)h,(50.57±5.08)ml,and(11.09±1.06)d than in the control group with the data of (2.86±1.02)h,(185.83±11.76)ml,and (21.32±5.16)d, which were significant differences between the two groups(P<0.05).There were 12 cases of excellent,8 cases of good in the observation group and there were 5 cases of excellent,10 cases of good in the control group, which were significant differences between the two groups(P<0.05). Conclusion: small skull-window craniotomyhas shorter surgical duration and length ofhospital stay, less operation wound. It can promote the recovery of neurological function, which makes it worthy of clinical application.