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目的 比较不同手术方法治疗高血压脑出血的效果,给临床选择合适的手术方法.方法将我院2012G3-2015G3收治的120例高血压脑出血患者作为本次研究对象,根据患者的病情制定个体化手术策略,其中应用小骨窗显微镜下进行脑内血肿清除手术的患者有42例,38例患者应用大骨瓣进行开颅手术,40例患者应用钻孔法.比较各组间患者在术后恢复状况.结果 小骨窗组患者在术后发生肺部感染、肾衰竭的比例高于大骨瓣组和钻孔组,大骨瓣组患者出现应激性溃疡的比例高于小骨窗组和钻孔组;三组患者在术后出血的比例没有明显差异(P>0.05);大骨瓣组、钻孔组术后2周的优良率明显高于小骨窗组.结论 三种手术方法各有利弊,在临床中需根据患者病情选择手术方法,有效提高治疗效果.
Objective To compare the effects of different surgical methods in the treatment of hypertensive intracerebral hemorrhage and to select the suitable surgical methods for clinical treatment.Methods 120 cases of hypertensive intracerebral hemorrhage admitted in our hospital 2012G3-2015G3 were selected as the research object and were individualized according to the patient’s condition Surgical strategy, including 42 patients undergoing intracerebral hematoma surgery with small bone window microscopy, 38 patients underwent craniotomy with large bone flap and 40 patients underwent drilling.Results Patients in each group recovered after operation Results The incidence of pulmonary infection and renal failure in patients with small bone window group was higher than that in the large bone flap group and the drilling group. The proportion of stress ulcer in the large bone flap group was higher than that in the small bone window group and the drilling hole Group.There was no significant difference in the postoperative bleeding among the three groups (P> 0.05) .The excellent and good rates of the two groups in the large bone flap group and the drilling group were significantly higher than those in the small bone window group.Conclusion The three surgical methods have their advantages and disadvantages , According to the patient’s condition in the clinical choice of surgical methods to effectively improve the treatment effect.