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小骨窗经侧裂入路高血压脑出血的手术治疗疗效分析

郭杰1,周璇1(通讯作者),陈延1,白茫茫1,郝文炯1,韦玮1,黄元志1   

  1. 陕西省延安大学附属医院神经外科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2016-06-25

  • Received:1900-01-01 Revised:1900-01-01 Online:2016-06-25

摘要: 【摘要】:目的:探究小骨窗经侧裂入路高血压脑出血的手术治疗疗效。方法:基于本院自2013年7月-2015年7月期间收治的50例高血压脑出血患者的临床资料,按照临床治疗方式的不同,随机的将这50例患者分为观察组(采用小骨窗经侧裂入路手术治疗方式)和对照组(采用切管切开手术治疗方式),两组各25例,观察比较两组患者的临床疗效、术后并发症发生情况以及患者对手术治疗工作的满意程度。结果:观察组25例高血压脑出血患者的临床治疗效果(总有效率为88%)明显的优于对照组25例高血压脑出血患者的临床治疗效果(总有效率为60%)(P<0.05),具有统计学意义;观察组25例患者术后并发症发生率36%明显的低于对照组25例患者术后并发症发生率60%(P<0.05),具有统计学意义;观察组25例患者对手术治疗工作的满意度(总满意率为84%)明显的高于对照组25例患者对手术治疗工作的满意度(总满意率为56%)(P<0.05),具有统计学意义。结论:高血压脑出血行小骨窗经侧裂入路手术治疗,具有创伤小、救治率高、术后并发症少等优点。

Abstract: Abstract:Objective: To explore the small bone window through lateral fissure approach surgical treatment of hypertensive cerebral hemorrhage curative effect.Methods: based on our hospital from July 2013 - July 2015 admitted during the period of the clinical data of 50 cases of hypertensive cerebral hemorrhage patients, according to the different way of clinical treatment, the 50 patients were randomly divided into observation group (with small bone window through lateral fissure approach surgical treatment) and control group (used in cutting incision surgery treatment), two groups of the 25 cases, to observe the clinical efficacy of comparing two groups of patients, postoperative complications and patients of surgical treatment for job satisfaction.Results: observation group of 25 cases of patients with hypertension cerebral hemorrhage clinical treatment effect, the total effective rate was 88%) obviously better than the control group of 25 patients with hypertension cerebral hemorrhage clinical treatment effect (the total effective rate was 60%) (P < 0.05), statistically significant;25 patients postoperative complication rates 36% observation group was obviously lower than the control group of 25 patients with 60% incidence of postoperative complications (P < 0.05), statistically significant;Observation group of 25 patients for surgical treatment of job satisfaction (total satisfaction rate of 84%) obvious higher than the control group of 25 patients for surgical treatment of job satisfaction (total satisfaction rate of 56%) (P < 0.05), with statistical significance.Conclusion: hypertension cerebral hemorrhage line of small bone window through lateral fissure approach surgery, has small trauma, high cure rate, less postoperative complications, etc.