目的：探讨小骨窗开颅经侧裂入路血肿清除术和骨瓣开颅血肿清除术治疗高血压脑出血优劣差异。方法：选择100例高血压脑出血患者作为研究对象，随机分为试验组和对照组，试验组采用小骨窗开颅经侧裂入路血肿清除术治疗，对照组采用骨瓣开颅血肿清除术，比较两组患者临床治疗效果、死亡率、术中出血量、手术时间和住院时间。结果：试验组1例死亡，死亡率2.0%，对照组5例死亡，死亡率10.0%，两组患者死亡率比较差异有统计学意义（p ﹤0.05）。试验组总有效率高于对照组，差异有统计学意义（p ﹤0.05）。试验组术中出血量、手术时间和住院时间均低于对照组，差异有统计学意义（p ﹤0.05）。结论：小骨窗开颅经侧裂入路血肿清除术的临床治疗效果更好，同时还能有效改善手术时间、住院时间和术中出血量等临床指标。%Objective Ti investigate differences between the small bine windiw craniitimy thriugh lateral fissure appriach fir remival if hematima,and bine flap fir remival if hematima in the treatment if hypertensive cerebral hemirrhage. Method 100 cases if hypertensive cerebral hemirrhage patients were selecte as the research ibject,they were randimly divided inti experimental griup and cintril griup,experi-mental griup was treated with small bine windiw craniitimy thriugh lateral fissure appriach fir remival if hematima treatment,cintril griup was treated with bine flap craniitimy fir remival if hematima,twi griups if patients with clinical treatment,mirtality,and intraiperative bliid liss,iperating time and length if stay were cimpared. Results The experimental griup 1 case death,the death rate was 2. 0% ,cintril griup 5 cases died,the mirtality rate was 10. 0% ,the mirtality if twi griups if patients was cimparative,the difference was statistically signif-icant(p ﹤0. 05). Experimental griup tital effective rate was higher than the cintril griup,the difference was statistically significant(p ﹤0. 05). Bleeding amiunt if experimental griup were liwer than the cintril griup,iperatiin time and hispitalizatiin time,the difference was statistically significant(p ﹤0. 05). Conclusion The clinical treatment effect if small bine windiw craniitimy thriugh lateral fissure appriach fir remival if hematima is better,and it can effectively imprive the iperatiin time,hispital stay,and intraiperative bliid liss and ither clini-cal indicatirs.
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