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目的探讨微创清除术治疗老年人额叶脑挫裂伤并颅内血肿的临床疗效。方法将额叶脑挫裂伤并颅内血肿50例老年患者随机分为两组,观察组26例,采用颅内血肿微创清除术治疗,对照组24例,采用血肿开颅清除术治疗,比较病亡率、临床疗效。结果观察组病亡率为15.38%。对照组病亡率为25.00%。两组比较,差异有统计学意义(p<0.05)。结论微创清除术能有效清除血肿、降低病亡率、提高临床疗效,值得临床进一步推广使用。
Objective To investigate the clinical effect of minimally invasive resection for the treatment of frontal lobe contusion and intracranial hematoma in the elderly. Methods 50 cases of frontal lobe cerebral contusion and intracranial hematoma were randomly divided into two groups. The observation group was treated with minimally invasive intracranial hematoma and the control group with 24 cases. The hematoma was removed by craniotomy. Compare the mortality rate, clinical efficacy. Results The mortality of observation group was 15.38%. The control group was 25.00%. The difference between the two groups was statistically significant (p <0.05). Conclusion Minimally invasive surgery can effectively remove the hematoma, reduce the mortality and improve the clinical curative effect, which is worth further promotion in clinic.