小骨窗开颅血肿清除术治疗脑出血120例的临床研究
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摘要
目的研究小骨窗开颅血肿清除术对脑出血患者临床治疗效果。方法 240例接受开颅手术治疗的脑出血患者,随机分为对照组与治疗组,每组120例。治疗组患者采取小骨窗开颅血肿清除术治疗,对照组患者采取传统大骨瓣开颅手术治疗。比较两组患者的血肿消除率及治疗效果。结果对照组患者的血肿消除率为(75.32±4.47)%,治疗组患者的血肿消除率为(91.03±6.22)%,治疗组患者的血肿消除率显著高于对照组,差异具有统计学意义(t=22.468, P<0.05)。治疗组治疗总有效率为85.00%(102/120),显著高于对照组的60.00%(72/120),差异具有统计学意义(P<0.05)。结论小骨窗开颅血肿清除术用于治疗脑出血患者,能够有效清除血肿,降低患者手术风险,避免患者神经损伤,增强预后,值得进一步研究。
Objective To study the clinical effect of cerebral hemorrhage treated by small bone window craniotomy hematoma removal. Methods A total of 240 cerebral hemorrhage patients treated by craniotomy were randomly divided into control group and treatment group, with 120 cases in each group. The treatment group was treated with small bone window craniotomy hematoma removal, and the control group was treated with traditional large craniotomy. The hematoma elimination rate and treatment effect between the two groups was compared. Results The control group had hematoma elimination rate as(75.32±4.47)%, which was(91.03±6.22)% in the treatment group. The treatment group had significantly higher hematoma elimination rate than the control group, and the difference was statistically significant(t=22.468, P<0.05). The treatment group had significantly higher total treatment effective rate as 85.00%(102/120) than 60.00%(72/120) in the control group, and the difference was statistically significant(P<0.05). Conclusion Small bone window craniotomy hematoma removal can effectively remove the hematoma of cerebral hemorrhage patients, reduce the risk of surgery, avoid nerve injury and enhance the prognosis. It is worth further study.
Objective To study the clinical effect of cerebral hemorrhage treated by small bone window craniotomy hematoma removal. Methods A total of 240 cerebral hemorrhage patients treated by craniotomy were randomly divided into control group and treatment group, with 120 cases in each group. The treatment group was treated with small bone window craniotomy hematoma removal, and the control group was treated with traditional large craniotomy. The hematoma elimination rate and treatment effect between the two groups was compared. Results The control group had hematoma elimination rate as(75.32±4.47)%, which was(91.03±6.22)% in the treatment group. The treatment group had significantly higher hematoma elimination rate than the control group, and the difference was statistically significant(t=22.468, P<0.05). The treatment group had significantly higher total treatment effective rate as 85.00%(102/120) than 60.00%(72/120) in the control group, and the difference was statistically significant(P<0.05). Conclusion Small bone window craniotomy hematoma removal can effectively remove the hematoma of cerebral hemorrhage patients, reduce the risk of surgery, avoid nerve injury and enhance the prognosis. It is worth further study.
引文
[1]朱新明.小骨窗血肿清除术治疗脑出血的临床效果.实用心脑肺血管病杂志, 2017(5):129-130.
[2]曾令洲,许安荣,李玉斌,等.小骨窗开颅血肿清除术与传统大骨瓣开颅血肿清除术治疗高血压脑出血的疗效比较.神经损伤与功能重建, 2016, 11(5):436-438.
[3]莫伟,龙霄翱,梁远生,等.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比较研究.中国实用医药, 2015, 10(12):25-26.
[4]李健,刘玮,陆海,等.小骨窗与大骨瓣开颅血肿清除术治疗高血压脑出血疗效比较的Meta分析.中国循证医学杂志, 2014,14(10):1210-1217.
[5]何晓云.大骨瓣开颅血肿清除术、小骨窗显微血肿清除术和钻孔血肿抽吸引流术治疗高血压脑出血临床疗效对比观察.临床和实验医学杂志, 2016, 15(16):1612-1614.
[6]刘小军,陈献东.早期小骨窗血肿清除术治疗高血压脑出血及对患者神经功能的影响.浙江创伤外科, 2015, 20(1):146-148.
[7]宁军建.小骨窗开颅血肿清除术和大骨瓣开颅血肿清除术治疗高血压脑出血的临床效果分析.实用医技杂志, 2017, 24(7):774-775.
[8]李格,沈铭.小骨窗开颅血肿清除术与微创穿刺血肿清除术治疗高血压脑出血的疗效对比.神经损伤与功能重建, 2014(2):160.
[9]陈小鑫,钱水清.小骨窗开颅血肿清除术和大骨瓣开颅血肿清除术治疗高血压脑出血疗效观察.中国医药指南, 2011, 9(19):254-255.
[10]杨军,聂晓凤.小骨窗开颅血肿清除术与微创血肿穿刺清除术治疗脑出血临床疗效对比分析.河北医药, 2015(4):563-565.
[11]陈迎春,林亚洲,范铁牛,等.早期小骨窗开颅血肿清除术治疗表浅部位高血压脑出血31例.中国临床神经外科杂志, 2013(5):296-297.
[12]李亚平,贺桢令,王全,等.颅内血肿微创清除技术与小骨窗开颅手术治疗高血压脑出血临床对照分析.重庆医学, 2004(10):1455-1457.
[2]曾令洲,许安荣,李玉斌,等.小骨窗开颅血肿清除术与传统大骨瓣开颅血肿清除术治疗高血压脑出血的疗效比较.神经损伤与功能重建, 2016, 11(5):436-438.
[3]莫伟,龙霄翱,梁远生,等.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比较研究.中国实用医药, 2015, 10(12):25-26.
[4]李健,刘玮,陆海,等.小骨窗与大骨瓣开颅血肿清除术治疗高血压脑出血疗效比较的Meta分析.中国循证医学杂志, 2014,14(10):1210-1217.
[5]何晓云.大骨瓣开颅血肿清除术、小骨窗显微血肿清除术和钻孔血肿抽吸引流术治疗高血压脑出血临床疗效对比观察.临床和实验医学杂志, 2016, 15(16):1612-1614.
[6]刘小军,陈献东.早期小骨窗血肿清除术治疗高血压脑出血及对患者神经功能的影响.浙江创伤外科, 2015, 20(1):146-148.
[7]宁军建.小骨窗开颅血肿清除术和大骨瓣开颅血肿清除术治疗高血压脑出血的临床效果分析.实用医技杂志, 2017, 24(7):774-775.
[8]李格,沈铭.小骨窗开颅血肿清除术与微创穿刺血肿清除术治疗高血压脑出血的疗效对比.神经损伤与功能重建, 2014(2):160.
[9]陈小鑫,钱水清.小骨窗开颅血肿清除术和大骨瓣开颅血肿清除术治疗高血压脑出血疗效观察.中国医药指南, 2011, 9(19):254-255.
[10]杨军,聂晓凤.小骨窗开颅血肿清除术与微创血肿穿刺清除术治疗脑出血临床疗效对比分析.河北医药, 2015(4):563-565.
[11]陈迎春,林亚洲,范铁牛,等.早期小骨窗开颅血肿清除术治疗表浅部位高血压脑出血31例.中国临床神经外科杂志, 2013(5):296-297.
[12]李亚平,贺桢令,王全,等.颅内血肿微创清除技术与小骨窗开颅手术治疗高血压脑出血临床对照分析.重庆医学, 2004(10):1455-1457.