微创治疗高血压脑出血78例临床治疗分析

The Clinical Analysis of Minimally Invasive Treatment of 78 Cases of Hypertensive Cerebral Hemorrhage

目的:探讨微创手术治疗高血压脑出血的临床效果。方法:回顾性分析78例高血压脑出血患者的微创治疗,其中51例行小骨窗血肿清除术,27例行锥颅注入尿激酶引流血肿术。结果:按ADL(activity daily living)进行疗效评价:行小骨窗血肿清除术治疗51例中良好25例,轻残17例,重残3例,死亡6例;行锥颅注入尿激酶引流血肿术治疗27例中良好12例,轻残9例,重残2例,死亡4例。结论:小骨窗开颅血肿清除术、锥颅注人尿激酶引流脑内血肿术治疗高血压脑出血,创伤小、时间短、恢复快.提高了患者生存质量。

Objective：To explore the clinical effect of minimally invasive surgical treatment of hypertensive cerebral hemorrhage. Methods ： Retrospectively analyzed 78 cases of hypertensive intracerebral hemorrhage with minimally invasive therapy, including 51 cases of small bone window hematoma surgery,27 cases of trephining urokinase hematoma drainage surgery. Results： To carry out evaluation By ADL （activity daily living） ：Among 51 cases of small bone window hematoma ,25 cases of good, light residual 17 cases, three cases of severe disability, six cases of death ; Among 27 cases of trephining urokinase hematoma drainage, 12 cases of good,light residue 9 cases,2 cases of severe disability,4 cases of death. Conclusions： Small bone window craniotomy hematoma removal, trephining urokinase hematoma drainage in the treatment of hypertensive cerebral hemorrhage, with the characteristics of trauma, short time and quick recovery,improve the life quality of patients.