显微镜下锁孔手术对高血压脑出血清除的效果观察

摘要

Objective:To observe under the microscope keyhole surgery on hypertensive cerebral hemorrhage clear efficacy discuss its clinical applicability. Method:96 patients with hypertensive intracerebral hemorrhage patients treated in our hospital from May 2011 to September 2012,were randomly divided into two groups,48 cases in each group. Traditional craniotomy control group,the experimental group under a microscope keyhole surgery. Observed two groups of patients with urinary tract infections,lung infections,gastrointestinal bleeding,local hematoma and water and electrolyte disturbance occurrence of postoperative complications,and after a month of clinical efficacy were compared.Result:The occurrence of postoperative complications in patients in the experimental group was significantly less than that of the control group,the difference was statistically significant (P<0.05);postoperative an experimental group of patients with good clinical efficacy rate is significantly better than control group,the difference was statistically significant(P<0.05).Conclusion:Under the microscope keyhole surgery on hypertensive intracerebral hemorrhage clears fewer postoperative complications,and to good effect.%　　目的：观察显微镜下锁孔手术对高血压脑出血清除的疗效，探讨其临床适用性。方法：选择从2011年5月-2012年9月于笔者所在医院接受治疗的96例高血压脑出血患者，随机分为试验组和对照组，每组各48例。对照组采用传统开颅手术治疗，试验组采用显微镜下锁孔手术治疗。观察两组患者尿路感染、肺部感染、消化道出血、局部血肿及水电解质紊乱等术后并发症的发生情况，并对术后1个月的临床疗效分别进行比较。结果：试验组患者术后并发症的发生情况明显少于对照组，差异有统计学意义(P<0.05)；术后1个月试验组患者疗效优良率明显优于对照组，差异有统计学意义(P<0.05)。结论：显微镜下锁孔手术对高血压脑出血清除的术后并发症少，效果良好。