摘要
目的探讨不同手术方式对高血压脑出血患者进行治疗的临床效果。方法收集我院2008年2月—2011年2月的高血压脑出血患者213例,将其按手术方式分为定向引流组93例、小骨窗开颅组73例和骨瓣开颅组47例,并对3组的疗效进行对比分析。结果 213例患者在术后6个月内死亡38例,其中定向引流组病死率为18.3%,小骨窗开颅组病死率为17.8%,骨瓣开颅组病死率为17.0%,3组患者病死率比较,差异无统计学意义(P>0.05)。根据血肿量分组,血肿量在20～50ml和81～110ml时,3组患者病死率比较,差异均有统计学意义(P<0.05)。结论高血压脑出血手术治疗的3种方式具有各自的优缺点,尤其小骨窗开颅术具有创伤较小、患者恢复快、能够有效及时解除脑受压等优点,是一种治疗高血压脑出血的有效方法。
Objective To explore the clinical effect of different operation modes in treatment of hypertensive cerebral hemorrhage. Methods 213 patients in our hospital from February 2008 to February 2011 collected in hypertensive cerebral hemorrhage, according to its operation mode is divided into directional drainage group of 93 cases, a small bone window craniotomy of 73 cases and bone flap craniotomy of 47 cases, and the curative effect of the 3 groups were compared. Results In 213 patients after 6 months and 38 cases died, the mortality was 18. 3% directional drainage group, small bone window craniotomy group the mortality rate was 17. 8%, bone flap craniotomy group mortality rate was 17%, compared with 3 groups of patients＇ fatality rate, there was no significant difference （P 〉 0. 05）. According to the volume of hematoma group, volume of hematoma in 20 ~ 50ml and 81 - 110ml, compared 3 groups of patients the mortality rate, the differences were statistically significant （P 〈 0. 05 ）. Conclnsion Operation treatment of hypertensive cerebral hemorrhage in 3 ways have their advantages and disadvantages, especially small bone window craniotomy with small trauma, quick recovery, patients can promptly and effectively to relieve intracranial pressure and other advantages, is an effective method for treatment of hypertensive cerebral hemorrhage.
出处
《实用心脑肺血管病杂志》
2013年第3期41-42,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
颅内出血
高血压性
外科手术
治疗结果
Intracranial hemorrhage, hypertensive
Surgure procedures, operative
Treatment outcome
