摘要
目的：探讨小骨窗开颅治疗高血压脑出血的临床疗效。方法：对25例高血压脑出血患者采用小骨窗开颅术治疗。根据出血量、发病时间、血肿部位、GCS评分等进行综合分析,采用常规小骨窗开颅手术进行治疗。结果：本组术后随访3～6个月,ADLⅠ级4例,Ⅱ级10例,Ⅲ级5例,Ⅳ级4例,Ⅴ级1例,1例死亡。恢复良好（ADLⅠ～Ⅲ级）19例,好转率76%（19/25）,死亡率4%。结论：小骨窗开颅直视手术能有效清除脑内血肿[1],具有创伤小、手术时间短,并发症少脑损伤轻微等优点,并可有效降低死亡率,提高临床治疗效果,是治疗高血压脑出血的有效方法。
Objective：To recover normal function and feature of the patients suffered with facial injury by plastic techniquency.Methods：46 patients of facial injury were treated with suturing,dissociating plant skin and flapping replacement.Results：All cases had reached satisfactory clinical results with no obvious deformity.Conclusion：The therapy can bring good cosmetic effect and high satisfaction rate of patients,and is worth being generalized.
关键词
小骨窗开颅
高血压
疗效
Facial injury
plastic suegery
suturing technique
