早期小骨窗开颅显微手术治疗高血压基底节区脑出血

Early microsurgery with small bone flap for the treatment of hypertensive hemorrhage in basal ganglia zone

目的探讨早期小骨窗开颅显微镜下清除高血压基底节区脑出血的临床效果。方法总结36例进行该手术病例,探讨其适应证、手术时机、手术入路、操作方法、术后治疗与预后的关系。结果以ADL分级法评定,恢复良好8例、轻残20例、重残6例、死亡2例。结论该手术是一种直视下简单、快捷、有效、微创的治疗高血压脑出血的方法。

Objective To discuss the clinical efficacy of early mierosurgery evacuation of hypertensive intracranial hematoma with small hone flap under microscope. Methods Totally 36 cases were analysed on relationship between surgical indication, timing, approach, operation technique, postoperative treatment and prognosis. Results According to ADL grading, 8 recovered well, 20 mild disabled,6 severely disabled and 2 died. Conclusion This operation method is an effective, minimally invasive one for the hypertensive intraeranial hemorrhage with simplicity and rapidity characteristics.