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目的探讨外伤性颅内血肿采用微创血肿碎吸术治疗的临床效果。方法整群选取入选该院2014年4月—2015年4月符合标准的外伤性颅内血肿患者128例,按照治疗方式的不同分为对照组和治疗组,每组64例;对照组患者实施开颅手术治疗,治疗组患者实施微创血肿碎吸术治疗,观察两组患者术后的疗效、并发症及各项临床指标情况。结果两组患者治疗后,病情均有改善,但治疗组患者GCS评分、NIHSS评分、Barthel指数情况显著优于对照组,治疗组患者术后并发症34.4%显著优于对照组的84.4%,结果差异有统计学意义(P<0.05)。结论微创血肿碎吸术治疗外伤性颅内血肿,有效的促进了患者神经功能的康复,血肿清除效果显著,创伤小,并发症少,逐渐成为临床治疗颅内血肿的重要手段之一,值得推广。
Objective To investigate the clinical effect of traumatic intracranial hematoma using minimally invasive hematoma aspiration therapy. Methods A total of 128 patients with traumatic intracranial hematoma who were admitted to our hospital from April 2014 to April 2015 were selected and divided into control group and treatment group with 64 cases in each group according to different treatment methods. Patients in control group Craniotomy was performed in the treatment group. The patients in the treatment group were treated with minimally invasive hematoma aspiration. The curative effect, complications and clinical indexes of the two groups were observed. Results Both groups improved after treatment. However, GCS score, NIHSS score and Barthel index in the treatment group were significantly better than those in the control group. The postoperative complications in the treatment group were significantly better than those in the control group 34.4% and 84.4% respectively The difference was statistically significant (P <0.05). Conclusion Minimally invasive hematoma aspiration suction treatment of traumatic intracranial hematoma, effectively promote the rehabilitation of patients with neurological function, hematoma clear significant effect, less trauma, fewer complications, and gradually become an important means of clinical treatment of intracranial hematoma, it is worth Promotion.