经侧裂显微手术和传统骨窗开颅术治疗高血压脑出血临床效果的对比研究

摘要

Objective To compare the clinical effect on hypertensive cerebral hemorrhage between microsurgery through lateral fissure approach and traditional bone - window craniotomy. Methods From October 2014 to December 2015,a total of 50 patients with hypertensive cerebral hemorrhage were selected in the Department of Neurosurgery,the Second People′s Hospital of Jiangyou,and they were divided into control group and observation group according to random number table,each of 25 cases. Patients of control group were treated by traditional bone - window craniotomy,while patients of observation group were treated by microsurgery through lateral fissure approach. Clinical effect,incidence of postoperative complications,quality of life at discharge and after 6 months of discharge were compared between the two groups. Results The clinical effect of observation group was statistically significantly better than that of control group(P < 0. 05). The incidence of postoperative complications of observation group was statistically significantly lower than that of control group(P < 0. 05). Quality of life score of observation group was statistically significantly higher than that of control group at discharge and after 6 months of discharge,respectively(P< 0. 05);after 6 months of discharge,quality of life score of the two groups were statistically significantly higher than those at discharge(P < 0. 05). Conclusion Compared with traditional bone - window craniotomy,microsurgery through lateral fissure approach has better clinical effect in treating hypertensive cerebral hemorrhage,can more effectively reduce the incidence of postoperative complications,is more helpful to improve the life of quality.%目的：比较经侧裂显微手术和传统骨窗开颅术治疗高血压脑出血的临床效果。方法选取2014年10月—2015年12月江油市第二人民医院神经外科收治的高血压脑出血患者50例，按照随机数字表法分为对照组和观察组，每组25例。对照组患者行传统骨窗开颅术，观察组患者行经侧裂显微手术。比较两组患者临床效果、术后并发症发生情况、出院时及出院6个月的生存质量。结果观察组患者临床效果优于对照组（P <0.05）。观察组患者术后并发症发生率低于对照组（P <0.05）。观察组患者出院时和出院6个月生存质量评分均高于对照组，且两组患者出院6个月生存质量评分均高于出院时（P <0.05）。结论与传统骨窗开颅术相比，经侧裂显微手术治疗高血压脑出血的临床效果更佳，可更有效地减少患者术后并发症的发生，更有利于改善患者的生存质量。