小骨窗手术治疗高血压性脑出血

Hypertensive cerebral hemorrhage treated with small bone window operation

目的:探讨小骨窗开颅手术治疗高血压性脑出血的临床疗效。方法:回顾性分析采用小骨窗开颅治疗高血压性脑出血患者53例的临床资料。结果:53例患者中,39例血肿完全清除,10例大部分清除,4例发生再次出血,术后死亡3例,术后生存患者功能恢复按ADL分级法评价,Ⅰ级9例,Ⅱ级21例,Ⅲ级13例,Ⅳ级3例,Ⅴ级4例,死亡3例。结论:小骨窗开颅微创术治疗高血压性脑出血效果满意,值得推广。

Objective：To investigate the clinical efficacy of hypertensive cerebral hemorrhage treated with small bone window operation.Methods：To analyze clinical data of 53 cases of hypertensive cerebral hemorrhage patients treated with small bone window operation.Results： In the 53 patients,39 cases of hematoma completely removed,10 cases of mostly clear, rebleeding occurred in 4 cases,3 patients died after surgery, functional recovery of postoperative survival patients by ADL grading evaluation,Ⅰgrade 9 cases,Ⅱgrade 21 cases,Ⅲ grade 13 cases,Ⅳ grade 3 cases,Ⅴgrade 4 patients,3 cases died. Conclusion：Small window of skull minimally invasive surgery as the treatment of hypertensive cerebral hemorrhage,effect is satisfactory and it is worth of promotion.