The comparison study of microscopic evacuation of intracranial hematoma and small bone flap approach microsurgical operation in treatment of hypertensive cerebral hemorrhage
10.3760/cma.j.issn.1673-4904.2011.17.007
- VernacularTitle:颅内微创血肿穿刺术与小骨窗血肿清除术治疗高血压性脑出血的疗效比较
- Author:
Lingjiang JIN
;
Yihong ZHENG
;
Da LIN
;
Wengen HE
;
Zheng LIN
;
Xianjun BAO
- Publication Type:Journal Article
- Keywords:
htracranial hemorrhage,hypertensive;
Microscopic evacuation of intracranial hematoma;
Small bone flap approach microsurgical operation
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(17):15-17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and observe the clinical effects of microscopic evacuation of intraeranial hematoma and small bone flap approach mierosurgical operation in treatment of hypertensive cerebral hemorrhage.Methods From June 2008 to June 2010,116 cases of patients with hypertensive cerebral hemorrhage were classified into two groups with 58 cases in each by random digits table.Group A was treated with microscopic evacuation of intracranial hematoma and group B was treated with small bone flap approach microsurgical operation.The clinical efficacy and neurological impairment Scores were observed and compared between the two groups.Results The total effective rate in group A[87.9%(51/58)]was significantly higher than that in group B[72.4%(42,58)](P<0.05).After treatment 14 d and 28 d,the neurological impairment scores in group A were (22.1±6.2).(12.6±3.3)scores and in group B were (23.5±6.7),(18.6±5.1)scores.Compared with pre-treatment[group A:(41.9±8.1)scores;group B (41.7±7.9)scores],after treatment l4 d and 28 d,the neurological impairment scores in two groups were significantly decreased(P<0.05).Moreover,After treatment28 d,the neurological impairment scores in group A were significantly lower than those in group B(P<0.05).Conclusion Both microscopic evacuation of intracranial hematoma and small bone flap approach microsurgical operation are effective methods in hypertensive cerebral hemorrhage,but microscopic evacuation of intracranial hematoma can enhance the effect and improve the neurological function.
