Abstract: Objective To investigate the effect of small bone-window craniotomy under microscope combined post-operative intracranial pressure monitoring in the treatment of hypertensive hemorrhage.Methods Sixty-eight patients with hypertensive hemorrhage admitted to our hospital from July 2021 to July 2022 were selected and divided into two groups: In the trial group,35 patients underwent small bone-window craniotomy under microscope combined post-operative intracranial pressure monitoring,and in the control group,33 patients only underwent small bone-window craniotomy under microscope.Postoperative complicationsand GOS score were compared between the two groups.Results The incidence of postoperative complications in the trial group were significantly lower than those in the control group (P<0.05).The GOS score of trial group was significantly higher than that of control group 6 months after operation (P<0.05).Conclusion Small bone-window craniotomy under microscope combined post-operative intracranial pressure monitoring can improve the prognosis of hypertensive hemorrhage patients,reduce postoperative complications,reduce hospital stay,and improve the quality of life of patients.

Key words: Small bone-window, Microsurgery, Intracranial pressure monitoring, Hypertensive hemorrhage

摘要： 目的 探讨小骨窗入路显微手术联合颅内压监护治疗高血压脑出血的临床疗效。方法 将我院2021年7月至2022年7月收治的68例高血压脑出血手术患者分为两组:试验组为35例行小骨窗入路显微手术联合颅内压监护,对照组为33例仅行小骨窗入路显微手术,对两组患者的术后并发症、格拉斯预后评分(Glasgow Outcome Scale,GOS)进行比较。结果 试验组患者术后并发症发生率明显低于对照组(P＜0.05);试验组患者术后6个月格拉斯预后评分(GOS)明显高于对照组(P＜0.05)。结论 小骨窗入路显微手术联合颅内压监护可改善高血压脑出血患者的预后,减少术后并发症,降低住院时间,提高患者的生活质量。

关键词: 小骨窗, 显微手术, 颅内压监护, 高血压脑出血