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.
关键词
小骨窗开颅显微手术/高血压脑出血/神经功能
Key words
Small bone window craniotomy microsurgery/Hypertensive cerebral hemorrhage/Neurological function
维普
万方数据