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目的:分析对比小骨窗开颅术与大骨瓣开颅术治疗高血压脑出血的疗效。方法:选择该院收治的高血压脑出血患者80例作为研究对象随机分成实验组和对照组,各40例,对照组采取大骨瓣开颅术治疗,实验组采取小骨窗开颅术治疗,并在治疗结束后,对比分析两组的手术效果。结果:实验组的手术时间、再出血发生率、并发症发生率低于对照组,GOS评分高于对照组(P<0.05)。结论:与大骨瓣开颅术相较,小骨窗开颅术治疗高血压脑出血具有创伤小、预后效果好的显著优点,值得应用和推广。
Objective: To analyze the curative effect of craniotomy comparing with small bone window craniotomy on hypertensive intracerebral hemorrhage. Methods: Eighty patients with hypertensive intracerebral hemorrhage admitted to our hospital were randomly divided into experimental group and control group, 40 cases in each group. The control group was treated by craniotomy with big bone flap. The experimental group was treated with small craniotomy, And after the treatment, comparative analysis of the two groups of surgical results. Results: The operation time, rebleeding rate and complication rate in experimental group were lower than those in control group, and the GOS score was higher than that in control group (P <0.05). Conclusion: Compared with large craniotomy craniotomy, small craniotomy craniotomy for hypertensive intracerebral hemorrhage has the advantages of less trauma and better prognosis, which is worthy of application and promotion.