直视下小骨窗开颅与锥孔引流治疗高血压脑出血32例疗效比较(1)
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[摘要] 目的：比较直视下小骨窗开颅与锥孔引流治疗HICH的手术疗效。方法：入选的64例高血压脑出血患者均经头颅CT确诊，随机分为观察组(直视下小骨窗开颅术)和对照组(锥孔引流清除血肿术)各32例，比较两组的手术疗效。结果：观察组血肿清除时间明显短于对照组，术后并发症的发生率明显低于对照组，且术后随访6个月，观察组ADL恢复情况明显优于对照组(P<0.05)。观察组死亡率明显低于对照组(P<0.05)。结论：直视下行小骨窗开颅术治疗高血压脑出血，具有预后好，并发症少，日常生活活动能力恢复好的特点，也避免了锥孔引流术不能一次清除大部分血肿、残留血块或止血不彻底再次出血等缺点，值得临床广泛推广和应用。
[关键词] 高血压脑出血；小骨窗开颅术；锥孔引流术；直视下
[中图分类号] R743.34 [文献标识码]A[文章编号]1674-4721(2011)04(a)-033-02
Small bone under direct vision cone window craniotomy and drainage for the treatment of hypertension compared 32 patients with cerebral hemorrhage
WANG Kai, XIAO Yuqiang, FU Liqi, WANG Xiaomin, WANG Yuchun
Department of Neurosurgery, Daqing Oilfield General Hospital in Heilongjiang Province, Daqing 163001, China
[Abstract] Objective: To compare the bone under direct vision a small window craniotomy and drainage in the treatment HICH cone of surgical treatment. Methods: 64 patients with hypertensive intracerebral hemorrhage patients were diagnosed by brain CT were randomly divided into two groups (small bone under direct vision window craniotomy) and the control group (surgery to remove the hematoma drainage cone) of the 32 patients, two groups were compared surgery. Results: Hematoma observation group was significantly shorter than the control group, the incidence of postoperative complications was significantly lower than the control group, and were followed up for 6 months, ADL recovery of the observation group than the control group (P<0.05). Observed mortality was significantly lower than the control group (P<0.05). Conclusion: Straight down a small bone window craniotomy for hypertensive intracerebral hemorrhage, with a good prognosis, fewer complications, activities of daily living and good recovery, but also to avoid the skull is not a clear majority of drainage hematoma, residual blood clot or bleeding the disadvantage of not completely re-bleeding, is worthy of extensive promotion and application.
[Key words] Cerebral hemorrhage; Small bone window craniotomy; Taper hole drainage; Under direct vision ......
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