【摘要】 目的探讨三种手术术式治疗高血压脑出血的临床效果。方法将收治的96例高血压脑出血患者,应用数字表法随机分为A、B、C组,每组各32例。A组采用去骨瓣开颅术治疗;B组采用小骨窗开颅术治疗;C组采用微创穿刺清除术治疗。比较三种术式的临床效果。结果 C组总有效率显著高于A、B组,A组、B组总有效率差异无统计学意义(P>0.05)。C组术中出血量、患者住院时间显著少于A、B组,差异有显著性(P<0.05)。A、B组术中出血量、患者住院时间差异无显著性(P>0.05)。C组与A、B组手术时间差异无统计学意义(P>0.05)。结论微创颅内血肿清除术治疗高血压脑出血,血肿清除效果好,对患者损伤小,利于患者恢复,值得临床推广应用。更多还原

【Abstract】 Objective To study the clinical effect of the three surgery procedures in the treatment of hypertensive cerebral hemorrhage.Methods 96patients with hypertension cerebral hemorrhage were randomly divided into A,B and C group.A group was treated with bone flap craniotomy treatment,group B with small bone window craniotomy treatment and group C with minimally invasive puncture clear surgical treatment.The clinical effect of three kinds of operation was observed.Results The total effective rate of group C was significantly higher than that of group A and group B.The total effective rate of group A and group B was not statistically different(P>0.05).The amount of bleeding and length of hospital stay of group C was significantly less than that of group A and group B(P<0.05).The operation time of group C,groupA and group B was not statistically different(P>0.05).Conclusion It is effective to treated hypertensive cerebral hemorrhage with minimal invasive intracranial hematoma removal technique.更多还原