超早期小骨窗手术治疗基底节区高血压脑出血(附69例临床分析)

Small bone windows operation in the treatment of hypertensive cerebral hemorrhage in basal ganglia

目的探讨基底节区高血压脑出血超早期小骨窗手术方法及疗效。方法对我院2004年3月至2008年3月69例基底节区高血压脑出血行超早期小骨窗手术患者进行回顾性总结、分析。结果本组69例中,生存62例,死亡7例。术后随访3个月以上。根据日常生活能力(activity of daily living,ADL)分级法,Ⅰ级13例,Ⅱ级15例,Ⅲ级18例,Ⅳ级10例,Ⅴ级6例。结论基底节区高血压脑出血采取超早期小骨窗手术方式,能降低死亡率,改善生存质量。

Objective To explore the effects and methodology of ultra--early operation with small bone windows on the patients with hypertensive cerebral hemorrhage in basal ganglia. Methods From March 2004 to March 2008, the clinical data of 69 patients suffered from hypertensive cerebral hemorrhage in basal ganglia with ultra--early surgery therapy were analyzed retrospectively. Results 7 patients were dead （ the death rate is 11%）. A follow--up of more than 3 months was conducted. According to the activities of daily living（ADL）grading system, grade I, grade, gradelII, gradeIV,and gradeV,were found in 13,15,18,10,6 patients. Conclusion The ultra--early operation with small bone windows on patients with hypertensive cerebral hemorrhage in Basal ganglia can decrease the mortality and improve the living quality.