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官春城,郭铭,梁晓华,龙潮新,余英教.颅内微创穿刺血肿引流术和小骨窗血肿清除术/去骨瓣减压血肿清除术治疗高血压脑出血的优劣差异[J].中国医药科学,2020,(1):261-264        基金项目:
颅内微创穿刺血肿引流术和小骨窗血肿清除术/去骨瓣减压血肿清除术治疗高血压脑出血的优劣差异
Difference in advantages and disadvantages of intracranial minimally invasive puncture hematoma drainage and small bone window hematoma removal/bone flap decompression hematoma removal in treatment of hypertensive intracerebral hemorrhage
  
DOI:
中文关键词:  颅内微创穿刺血肿引流术;小骨窗血肿清除术;去骨瓣减压血肿清除术;高血压脑出血
英文关键词:Intracranial minimally invasive puncture hematoma drainage;Small bone window hematoma removal;Bone flap decompression hematoma removal;Hypertensive intracerebral hemorrhage
作者单位
官春城,郭铭,梁晓华,龙潮新,余英教 广东省粤北人民医院神经外科,广东韶关 512000 
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中文摘要:
      [摘要] 目的 探讨颅内微创穿刺血肿引流术和小骨窗血肿清除术 / 去骨瓣减压血肿清除术治疗高血压脑出血的优劣差异。 方法 选取 2016 年 9 月~ 2018 年 9 月我院收治的急性高血压脑出血患者 139 例作为研究对象,按照手术方法不同分为研究组(颅内微创穿刺血肿引流术)和对照组(小骨窗血肿清除术 / 去骨瓣减压血肿清除术),其中研究组 66 例,对照组 73 例,分别比较两组患者的治疗效果、预后情况及并发症情况。 结果 研究组治疗总有效率高于对照组,差异有统计学意义(P < 0.05);在术后 1 周和 2 周,研究组出血量跟对照组比较差异无统计学意义(P > 0.05),GCS 评分和 Barthel 指数高于对照组,差异有统计学意义(P < 0.05);研究组发生并发症情况明显少于对照组,差异有统计学意义(P < 0.05)。 结论 颅内微创穿刺血肿引流术治疗高血压脑出血能够有效清除血肿,加快神经损伤恢复,提高生活活动能力,且不会增加并发症,临床效果显著。
英文摘要:
      [Abstract] Objective To explore the differences in advantages and disadvantages of intracranial minimally invasive puncture hematoma drainage and small bone window hematoma removal/bone flap decompression hematoma removal in treatment of hypertensive intracerebral hemorrhage. Methods 139 patients with acute hypertensive intracerebral hemorrhage who were admitted and treated in our hospital from September 2016 to September 2018 were selected as research objects.According to the surgical methods,they were divided into the study group(intracranial minimally invasive puncture hematoma drainage)with 66 cases and the control group(small bone window hematoma removal/bone flap decompression hematoma removal)with 73 cases.Curative effects,prognosis and complications of the two groups were compared. Results The total effective rate of treatment in the study group was higher than that in the control group.The difference was statistically significant(P < 0.05).There was no statistically significant difference in the amount of bleeding between the study group and the control group at 1 and 2 weeks after surgery(P > 0.05).The GCS score and Barthel index were higher than the control group,and the difference was statistically significant (P < 0.05).The complication of the study group was significantly less than that of the control group,and the difference was statistically significant(P < 0.05). Conclusion Intracranial minimally invasive puncture hematoma drainage in treatment of hypertensive intracerebral hemorrhage can effectively remove hematoma,accelerate the recovery of nerve injury and improve the ability of living activities,which will not increase complications.The clinical curative effect is significant.
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