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目的:比较改良小骨窗手术与传统术式清除高血压基底节区脑出血血肿效果。方法:以我院2013年1月-2014年6月期间收治85例高血压基底节区脑出血血肿患者为例,分为观察组(n=48)与对照组(n=47),对照组行大骨瓣开颅血肿清除术,观察组行改良小骨窗开颅血肿清除术,比较两组手术相关指标、住院时间;治疗有效率、并发症发生率。结果:两组手术时间、住院时间的比较差异无统计学意义(P>0.05):术中输血量[(87.4±30.5)VS(213.7±56.3)]m L,治疗有效率[(87.5%)VS(63.8%)],并发症发生率[(45.8%)VS(75.6%)],差异均有统计学意义(P<0.05)。结论:与传统术式相比,改良小骨窗开颅术治疗高血压基底节区脑出血血肿操作难度低、术后并发症少,效果更佳,且手术效果所受影响因素少,可作为首选手术方案。
OBJECTIVE: To compare the effect of modified small-bone window surgery and traditional surgical procedure in removing hypertensive intracerebral hematoma in basal ganglia. Methods: A total of 85 patients with hypertensive intracerebral hematoma of the hematoma in the basal ganglia in our hospital from January 2013 to June 2014 were enrolled in this study. The patients in the observation group (n = 48) and the control group (n = 47) Large craniotomy craniectomy hematoma, the observation group were modified small window craniotomy hematoma removal, surgery-related indicators of the two groups, hospital stay; treatment efficiency, the incidence of complications. Results: There was no significant difference in operative time and hospitalization time between the two groups (P> 0.05). The intraoperative blood transfusion was (87.4 ± 30.5) vs (213.7 ± 56.3) VS (63.8%)], complication rate [(45.8%) vs (75.6%)], the differences were statistically significant (P <0.05). CONCLUSIONS: Compared with the traditional surgical procedures, modified small-bone craniotomy is superior in the treatment of hypertensive intracerebral hematoma of the hematoma in the basal ganglia, with less postoperative complications and better outcome, with fewer factors affecting the surgical outcome. Surgery program.