高血压基底节区出血不同手术方法的比较

Two types of surgical treatments for hypertensive intracerebral hemorrhage in or near by the basal ganglion.

目的 探讨高血压脑出血的两种手术方法。方法 选择格拉斯哥预后评分（GOS）在5～12分，原发出血部位均为基底节出血并有严重偏瘫的高血压脑出血病人50例，采取骨瓣开颅、小骨窗开颅两种手术方法。结果 1月后GOS在11分以上者39例，3月后GOS在3级以上者为26例。半年后GOS在3级以上者39例，3例死亡。结论小骨窗开颅适用于病情较轻者，骨瓣开颅适用于病情较重者．

Objective To evaluate the various surgical treatments of hypertensive intracerebral hemorrhage（HIH）. Methods 48 patients with Hilt which in or near by the basal ganglion were respectively received craniotomy, small window operation combined recombinant streptokinase . Results The GCS was over lI in 39 cases and the GOS was over grade 3 in 26 cases in three months. The GOS was over grade 3 in 39 cases in six months. Three cases were dead. Conclusion Small window surgery and sterotactic aspiration should be used in mild eases. Conclusion should be used in the serious patients.