摘要
目的 探讨高血压脑出血早期手术保留骨瓣的疗效及优点.方法 60例高血压性脑出血患者开颅清除血肿后,30例患者还纳骨瓣,30例患者弃去骨瓣,对其在术后再出血及预后方面进行比较分析.结果 保留骨瓣组与去骨瓣组在术后再出血及预后方面差异无统计学意义（P〉0.05）.而还纳颅骨瓣可保持颅骨相对完整,恢复解剖关系,避免颅骨缺损综合征的发生.结论 保留骨瓣手术方式优于去骨瓣手术.
Objective To explore the therapeutic action and advantages of the surgical reserves of bone disc in the early hypertensive hemorrhage. Methods Among the 60 patients with hypertensive hemorrhage who underwent the surgical clearamce of the hematoma, bone disc were returned in 30 patients while abandoned in the other 30 patients bone disc. The incidence of postoperative bleeding again and outcomes were compared and analyzed. Results It showed no obvious difference between keeping bone disc and abandoning bone disc in postoperative bleeding and outcomes （P 〉 0.05 ）. However, returning skull bone disc can leave the skull relatively complete, restore anatomy, and avoid skull deficiency syndrome. Conclusions Keeping bone disc is better than removing it.
出处
《浙江临床医学》
2010年第11期1193-1194,共2页
Zhejiang Clinical Medical Journal
关键词
高血压脑出血
早期手术
保留骨瓣
Hypertensive intacerebral hemorrhgage Early operation Keeping bone disc
