高血压脑出血应用超早期小骨窗微创脑出血清除术的治疗效果研究.docVIP

精品论文 参考文献 高血压脑出血应用超早期小骨窗微创脑出血清除术的治疗效果研究 （江苏邳州市人民医院神经外科 江苏 邳州 221300） 【摘要】 目的：研究高血压脑出血患者应用超早期小骨窗微创脑出血清除术治疗的效果。方法：根据手术方法的不同，把本院于2013年3月-2015年2月收治的36例高血压脑出血患者分为病例数各为18例的研究组和对照组，研究组患者采取超早期小骨窗微创脑出血清除术治疗，对照组患者采取常规大骨瓣开颅手术治疗，观察比较两组患者脑治疗效果。结果：研究组血肿清除率明显高于对照组，并发症发生率与病死率均低于对照组，手术时间以及住院均比对照组短，差异显著（P＜0.05）。结论：应用超早期小骨窗微创脑出血清除术治疗，血肿清除率高，手术时间与住院时间均比较短，可减少并发症和死亡病例的发生。 【关键词】 脑出血；血肿；高血压；超早期小骨窗微创脑出血清除术 【中图分类号】R615 【文献标识码】A 【文章编号】2095-1752（2015）36-0123-02 【Abstract】Purpose Patients with ultra early small bone window of minimally invasive debridement for treatment of cerebral hemorrhage effect on hypertensive cerebral hemorrhage. Method According to the different surgical methods, to the hospital in March 2013 and 2015 February were 36 cases of hypertensive cerebral hemorrhage patients divided for number of cases each for 18 cases of the study group and the control group, the study group patients take the ultra early small bone window craniotomy brain hemorrhage clearing therapy, control group patients were treated with routine big bone flap craniotomy in the treatment of observed compared two groups of patients with cerebral treatment effect. Result The hematoma clearance rate in the study group was significantly higher than that in the control group, the incidence of complications and mortality were lower than the control group, the operation time and hospitalization were shorter than the control group, the difference was significant (P lt; 0.05).Conclusion Application of ultra early small bone window craniotomy brain hemorrhage clearing therapy, hematoma clearance rate is high, operation time and hospitalization time are relatively short, reduce complications and deaths. 在脑外科疾病中高血压脑出血作为一种常见急症，多发生于50～70岁，其中男性稍多，多发于春冬季，高血压疾病容易使脑底小动脉出现病理性变化，多表现为小动脉管壁出现玻璃样变性、纤维样变性、坏死、局灶性出血或者坏死等，使血管壁强度减弱，引起局限性扩张，继而形成为微小动脉瘤，同时多伴有脑血肿与颅内高压，易使脑组织受到损伤，严重时还会引起脑疝，影响和威胁患者生命安全 [1-2]。近年来，随着医疗技术和微创神经外科技术的进步，颅脑小骨窗清除血肿术治疗高血压脑出血的效果也得到认可。本次研究笔者就高血压脑出血应用超早期小骨窗微创脑出血清除术