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目的分析小骨窗开颅与常规骨瓣开颅治疗高血压脑出血的效果。方法回顾性分析符合标准的高血压脑出血患者131例,随机分为二组,小骨窗组69例与常规骨瓣组62例,比较二组患者术后恢复情况等相关指标。结果二组在总的治疗效果方面比较差异无统计学意义(P>0.05),但小骨窗治疗组患者在手术持续时间、出血量、平均住院时间、出现硬膜下积液或皮下积液以及颅内感染方面与常规骨瓣组比较具有统计学意义(P<0.05)。在小骨窗组年龄<45岁组,手术在发病6h内,血肿量30~50ml的患者组中效果明显,差异有统计学意义(P<0.05),而常规骨瓣组差异无统计学意义(P>0.05)。结论在开颅治疗脑出血时,在发病超早期,出血量在30~50ml的相对年轻患者,宜选用小骨窗开颅治疗。
Objective To analyze the effect of skull craniotomy and conventional craniotomy on hypertensive intracerebral hemorrhage. Methods Retrospective analysis of 131 cases of hypertensive intracerebral hemorrhage who meet the standard, were randomly divided into two groups, 69 cases of small bone window group and 62 cases of conventional bone flap group, and compared the recovery of the two groups of patients and other related indicators. Results There was no significant difference in the total curative effect between the two groups (P> 0.05). However, there was no significant difference between the two groups in the duration of operation, the amount of bleeding, the average length of stay, the subdural effusion or subcutaneous effusion Compared with the conventional bone flap group, the intracranial infection was statistically significant (P <0.05). In the small bone window group aged <45 years, the operation was within 6 hours of onset and the hematoma volume was 30 ~ 50ml. The difference was statistically significant (P <0.05), but there was no significant difference in the conventional bone flap group P> 0.05). Conclusion In the craniotomy for intracerebral hemorrhage, in the early stage of the disease, bleeding in the relatively young patients with 30 ~ 50ml, should choose small craniotomy craniotomy.