首页|小骨窗开颅显微手术治疗高血压脑出血患者的效果观察

小骨窗开颅显微手术治疗高血压脑出血患者的效果观察

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目的 观察小骨窗开颅显微手术治疗高血压脑出血的效果.方法 106例高血压脑出血患者依据手术方式的不同分为两组.对照组予以传统大骨瓣开颅血肿清除术治疗,观察组予以小骨窗开颅显微手术治疗.比较两组的手术与血清学指标、神经功能恢复情况、并发症.结果 观察组的切口长度、手术时间和住院时间均短于对照组,术中出血量少于对照组,术后48 h血肿清除率高于对照组,并发症发生率低于对照组(P<0.05).术后30d,观察组的BDNF水平高于对照组,NSE水平和CSS评分均低于对照组(P<0.05).结论 小骨窗开颅显微手术治疗高血压脑出血患者能明显改善手术指标和血清学指标,促进神经功能恢复.
Observation on the Effect of Small Bone Window Craniotomy Microsurgery in the Treatment of Patients with Hypertensive Cerebral Hemorrhage
Objective To observe the effect of small bone window craniotomy microsurgery in the treatment of patients with hypertensive cerebral hemorrhage Methods 106 patients with hypertensive cerebral hemorrhage were divided into two groups according to different surgical methods.The control group was treated with traditional large bone flap craniotomy hematoma removal,and the observation group was treated with small bone window craniotomy microsurgery.The surgical and serological indicators,neurological function recovery and complications were compared between the two groups.Results The incision length,operation time and hospitalization time of the observation group were shorter than those of the control group,the intraoperative blood loss amount was less than that of the control group,the hematoma clearance rate at 48 h after surgery was higher than that of the control group,and the incidence of complications was lower than that of the control group(P<0.05).At 30 days after surgery,the BDNF level in the observation group was higher than that in the control group,and the NSE level and CSS score were lower than those in the control group(P<0.05).Conclusions Small bone window craniotomy microsurgery in the treatment of patients with hypertensive cerebral hemorrhage can significantly improve the surgical indicators and serological indicators,and promote the recovery of neurological function.

Small bone window craniotomy microsurgeryHypertensive cerebral hemorrhageNeurological function

司昊天、何森、王晓斌、任虹宇、张小广、马建功

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河南大学第一附属医院神经外科,河南开封 475000

小骨窗开颅显微手术 高血压脑出血 神经功能

河南省医学科技攻关计划联合共建项目

LHGJ20190509

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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