小骨窗开颅治疗老年性高血压脑出血25例分析

Keyhole Approach Craniotomy in Treatment of Hypertensive Intracerebral Hemorrhage in Old Patients

文章介绍了小骨窗开颅治疗老年性高血压性脑出血的手术方法。在2002年1月至2003年8月期间我们利用CT定位,小骨窗开颅治疗老年性高血压脑出血25例。术后12h内复查头颅CT,血肿清除达90%以上术后6个月生存质量按ADL评价,I级5例20.0%,II级11例44.0%,III级5例20.0%,IV级1例4.0%,V级1例4.0%,VI级2例8.0%。结论高龄并非高血压性脑出血手术禁忌,采取小骨窗开颅微创术可取得较满意效果。

Objective to explore the surgical techniques of keyhole approach craniotomy in the treatment of hypertensive intracerebral hemorrhage in old patients .Methods CT-guided keyhole approach craniotomy was performed to treat 25 old patients with hypertensive hematomas from January 2002 to August 2003 .Results CT scans within 12 postoperative hours showed over 90% hematomas were removed. The activity of daily living (ADL) classification results 6 months after the surgery were: grade I in 5cases (20.0%), grade II in 11 cases (44.0%),grade III in 5cases (20.0%), grade IV in 1 case (4.0%),grade V in 1 case (4.0%) and grade VI in 2 cases (8.0%). Conclusion Senility is by no means a contraindication for surgery in the treatment of hypertensive hematomas and keyhole approach minimally invasive craniotomy can give a satisfactory effect.