额部钻颅血肿引流术治疗高血压基底节区脑出血的临床疗效

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摘要   【摘 要】  目的: 探讨额部钻颅血肿引流术治疗高血压基底节区脑出血的临床效果。 方法: 将 2018年 3月 -2019年 3月在我院神經外科手术治疗的 78例高血压基底节区脑出血患者随机分为两组,对照组使用常规手术治疗,观察组使用额部钻颅血肿引流术治疗,比较两组患者的手术指标、血肿清除率及并发症发生率。 结果: 观察组手术时间长于对照组,而术中出血量、住院时间短于对照组( P<0.05) ;观察组血肿清除率高于对照组,而并发症发生率低于对照组( P<0.05)。 结论: 额部钻颅血肿引流术治疗高血压基底节区脑出血的临床效果显著,血肿清除率高,手术创伤小,术后恢复快,并发症发生率低,具有积极的临床意义。    【关键词】  高血压基底节区脑出血 ;额部钻颅血肿引流术 ;临床效果     [Abstract] Objective: To explore the clinical effect of the drainage of hematoma by forehead drilling in the treatment of hypertensive basal ganglia hemorrhage. Methods: 78 patients with hypertensive basal ganglia intracerebral hemorrhage who were treated in neurosurgery of our hospital from March 2018 to March 2019 were randomly divided into two groups. The control group was treated with routine operation, and the observation group was treated with forehead drilling hematoma drainage. The operation indexes, hematoma clearance rate and complication rate of the two groups were compared. Results: the operation time of the observation group was longer than that of the control group, while the amount of intraoperative hemorrhage and hospitalization time were shorter than that of the control group (P < 0.05); the hematoma clearance rate of the observation group was higher than that of the control group, and the incidence of complications was lower than that of the control group (P < 0.05). Conclusion: the treatment of hypertensive basal ganglia intracerebral hemorrhage with forehead drilling hematoma drainage has significant clinical effect, high hematoma clearance rate, small surgical trauma, fast postoperative recovery, low incidence of complications, and has positive clinical significance.
出处 《中华医学信息导报》 2020年2期
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出版日期 2020年04月20日(中国期刊网平台首次上网日期,不代表论文的发表时间)