Abstract：【Objective】To investigate the curative effect of straight incision and small bone window craniotomy debridement for treatment of epidural hematoma.【Methods】One hundred and fourteen cases of epidural hematoma in our hospital were selected and divided into the observation group and the control group according to the operation method , the observation group of 59 cases were treated with straight incision and small bone window craniotomy debridement, the control group of 55 cases were treated with routine flap craniotomy, the differences of perioperative indicators between the two groups were compared; the differences of awareness, physical activity, language, GCS score before and after the treatment between the two groups were compared; The differences of GOS score after treatment in two groups were compared.【Results】The operation time, blood loss, blood transfusion, heart rate (HR) and respiratory rate in the observation group were lower than those in the control group, the blood oxygen saturation in the observation group was higher than that in the control group, the difference was statistically significant (mean P<0.05); Compared with the control group, the difference of the mean arterial pressure in the observation group was not statistically significant (P>0.05). Consciousness, physical activity, language, GCS scores of the two groups of patients after treatment were higher than those before treatment, and the difference was statistically significant (P<0.05); consciousness, physical activity, language, GCS scores of the observation group after the treatment were higher than those in the control group, the difference was statistically significant (both P<0.05). After treatment, there was no significant difference in the efficacy of GOS score between the two groups (P>0.05).【Conclusion】Straight incision and small bone window craniotomy debridement can effectively remove the hematoma and reduce the intracranial pressure, which is superior to the conventional bone flap craniotomy in the improvement of the consciousness of the patients and the improvement of the nerve function.
王家清. 直切口小骨窗开颅清除术治疗硬脑膜外血肿疗效观察[J]. 医学临床研究, 2016, 33(9): 1681-1687.
WANG Jiaqing. Curative Effect of Straight Incision and Small Bone Window Craniotomy Debridement for Treatment of Epidural Hematoma. JOURNAL OF CLINICAL RESEARCH, 2016, 33(9): 1681-1687.
2016, Vol. 33 
