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《China Foreign Medical Treatment》 2010-25
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锥颅引流、小骨窗开颅、大骨瓣开颅治疗高血压脑出血的比较分析

Objective To explore the effort and prognosis of minimally invasive surgery(MIS) in the treatment of hypertensive cerebral hemorrhage(HCH),and make comparative analysis with traditional large trauma craniotomy.Methods A total of 320 patients with HCH were recruited to take part in this study,all of them were from the neurosurgery department of our hospital,admitted from June,2003 to June,2009,and 120 of which were treated with large trauma craniotomy,100 for skull drainage,and the left for a small bone window craniotomy.All the groups' mortality and long-term efforts were studied.Results No difference was found in mortality between the Skull drainage,a small bone window crainotomy and large trauma craniotomy group(P0.05).To evaluate the patients' prognosis with the Glasgow Outcome Scale(GOS),the a small bone window craniotomy group had 23 patients for V class,24 for Ⅳ class,and the rate of good prognosis was 57.3%.The large trauma craniotomy group had 8 for V class,21 for Ⅳ,and the rate was 30.1%.And there were 19 Vs and 27 IVs for skull drainage group,the good prognosis rate was 58.9%.The good prognosis rate of a small bone window craniotomy group and skull drainage group is significantly higher than that of large trauma crainiotomy group(P0.05),but no difference was found between a small bone window craniotomy group and skull drainage group (P0.05).Conclusion Though skull drainage and a small bone window crantomy cannot improve the survival rate of patients compared with large trauma craniotomy,but patients' good prognosis rate of the two methods is better than the latter.
【CateGory Index】: R651.1
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