A comparative study of therapeutic effects of small bone flap craniotomy and traditional craniotomy in patients with hypertensive cerebral hemorrhage
10.3760/cma.j.issn.1671-8925.2011.09.023
- VernacularTitle:小骨窗开颅术与骨瓣开颅术治疗高血压脑出血疗效比较
- Author:
Teng NG ZHA
1
;
Hua-Shan ZOU
;
Wei-Qiang CHEN
Author Information
1. 广东省从化市中心医院
- Keywords:
Hypertensive cerebral hemorrhage;
Small bone flap craniotomy;
Traditional craniotomy
- From:
Chinese Journal of Neuromedicine
2011;10(9):953-955
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the therapeutic effects of small bone flap craniotomy and traditional craniotomy in patients with hypertensive cerebral hemorrhage. Methods Fifty-six patients with hypertensive cerebral hemorrhage, admitted to our hospital from June 2008 to June 2010, were randomly divided into experimental group (treated with small bone flap craniotomy, n=28) and control group (treated with traditional craniotomy, n=28). The operative time, hospital stays, case fatality rate,re-bleeding and complications and Glasgow outcome scale scores after 6 months treatment were analyzed and compared between the 2 groups. Results Operation time and hospital stays of the patients in the experimental group were significantly shorter than those in the control group (P＜0.05). The case fatality rate was 14.3％ and 25.0％ in the experimental group and control group, respectively, without significant differences (P＜0.05); the incidence of complications was 25.0 ％ and 46.4 ％ in the 2 groups without significant differences (P＜0.05); the scores of Glasgow outcome scale in the experimental group were superior to those in the control group (P＜0.05); the rate of re-bleeding was 10.7 ％ and 14.3 ％ in the 2groups without significant difference (P＞0.05). Conclusion As compared with traditional craniotomy,small bone flap craniotomy can decrease the rate of case fatality and complications, and improve the prognosis in patients with hypertensive cerebral hemorrhage.
