经额部与经颞部血肿钻孔引流术治疗高血压脑出血疗效的Meta分析

目的比较经额部与经颞部血肿钻孔引流术治疗高血压脑出血的疗效。 方法按照制定的检索策略，检索中国知网、万方、维普等中文数据库及Medline、Embase、Cochrane等英文数据库，对于符合纳入排除标准的研究利用RevMan 5.3软件进行Meta分析。 结果经检索，5个临床研究符合标准，共488例病例，其中经额部钻孔引流组236例，经颞部钻孔引流组252例。2组在手术时间、术后第7天血肿残余量及术后并发症发生率方面比较差异无统计学意义，经额部钻孔引流组在术后第3天血肿残余量、住院时间、术后日常活动能力方面更有优势。 结论经额部血肿钻孔引流较经颞部在血肿清除效率、改善预后方面更有优势。

Meta analysis of the curative effect of transfrontal and temporal hematoma drilling and drainage for hypertensive intracerebral hemorrhage

ObjectiveTo compare the therapeutic effect between frontal and temporal hematoma drilling and drainage for hypertensive intracerebral hemorrhage. MethodsAccording to the search strategy, Chinese databases such as China HowNet, Wanfang, Weipu and English databases such as Medline, Embase and Cochrane were retrieved. RevMan 5.3 software was used for Meta analysis of research that met the inclusion exclusion criteria. ResultsFive clinical studies were found to be in line with the criteria. A total of 488 cases were reported, including 236 cases in the frontal drilling group and 252 cases in the temporal drilling group. There was no significant difference between the two groups in the operation time, the residual amount of hematoma on the 7^th day and the incidence of complications after operation. The frontal drilling and drainage group had more advantages in the residual amount of hematoma on the 3^rd day after operation, the length of hospital stay and the ability of daily activities after operation. ConclusionBorehole drainage of frontal hematoma is more effective than that of temporal hematoma in clearing hematoma and improving prognosis.