[摘要] 目的 探討小骨窗開顱與常規(guī)骨瓣開顱治療高血壓腦出血的臨床效果。方法 方便選取2012年5月—2016年5月來該院治療高血壓腦出血患者117例，并將患者按隨機原則分為2組。所有患者經(jīng)CT掃描為幕上出血。對照組（58例）患者行常規(guī)骨瓣開顱手術治療，實驗組（59例）患者行小骨窗開顱手術治療，對兩組患者臨床治療效果及術后并發(fā)癥發(fā)生情況進行比較。結果 經(jīng)過比較發(fā)現(xiàn)，對照組治療有效率為65.52%，實驗組治療有效率為79.66%，實驗組患者治療有效率顯著高于對照組，差異有統(tǒng)計學意義（P<0.05）。另外，實驗組術后并發(fā)癥發(fā)生率為27.12%，對照組術后并發(fā)癥發(fā)生率為41.38%。實驗組患者長期昏迷和中殘率低于對照組，差異有統(tǒng)計學意義（P<0.05）。 結論 小骨窗開顱術與常規(guī)骨瓣開顱術都是治療高血壓腦出血的常用術式，但小骨窗開顱術治療高血壓腦出血患者效果顯著優(yōu)于常規(guī)骨瓣開顱術，可在臨床上推廣應用。
　　[關鍵詞] 小骨窗開顱術；常規(guī)骨瓣開顱；高血壓腦出血
　　[中圖分類號] R651.1 [文獻標識碼] A [文章編號] 1674-0742（2018）01（c）-0110-03
　　[Abstract] Objective This paper tries to investigate the clinical effect of small bone window craniotomy and conventional craniotomy in the treatment of hypertensive intracerebral hemorrhage. Methods 117 patients with hypertensive intracerebral hemorrhage were convenient selected from May 2012 to May 2016 in this hospital， and the patients were divided into 2 groups according to the principle of randomization. All patients were supratentorial hemorrhage by CT scan. The control group underwent conventional craniotomy treatment， the experimental group were treated with small bone window craniotomy treatment， compared two groups of patients with clinical effect and postoperative complications. Results Through the comparison， the effective rate of the control group was 65.52%， the effective rate of the experimental group was 79.66% in the experimental group（59 cases） the effective rate of treatment was significantly higher than the control group （58 cases）， there was statistical significance（P<0.05）. In addition， the incidence of postoperative complications in the experimental group was 27.12%， and the incidence of postoperative complications in the control group was 41.38%. The long-term coma and residual rate in the experimental group were lower than those in the control group， with statistical significance （P<0.05）. Conclusion Small bone window craniotomy and routine craniotomy are commonly used in the treatment of hypertensive cerebral hemorrhage， but small bone window craniotomy in the treatment of hypertensive cerebral hemorrhage patients is significantly better than conventional craniotomy， can be widely applied in clinical practice.
　　[Key words] Small bone window craniotomy； Routine bone flap craniotomy； Hypertensive cerebral hemorrhage
　　高血壓腦出血是臨床上常見腦血管疾病，臨床上致殘率致死率都很高，是腦血管疾病中首位，對患者生命安全產(chǎn)生嚴重威脅[1]。高血壓腦出血患者占卒中患者的20%左右，通常病情十分危急，存活者也多出現(xiàn)嚴重病殘。在臨床上治療高血壓腦出血多采用手術治療，常用術式有小骨窗開顱術與常規(guī)骨瓣開顱術[2]。但針對其治療效果臨床上并不確定，為探討2種術式治療高血壓腦出血的實際效果，該研究方便選取2012年5月—2016年5月來該院治療高血壓腦出血患者117例，并將患者按隨機原則分為2組。現(xiàn)報道如下。

相關熱詞搜索：開顱 腦出血 療效 治療高血壓 常規(guī)