老年人高血压脑出血的外科治疗

SURGICAL TREATMENT FOR THE ELDER HYPERTENSIVE INTRACEREBRAL HEMORRHAGE

评估老年人高血压脑出血的外科治疗效果，并寻找最佳治疗方案。方法：研究７０例老年人高血压脑出血的外科治疗，其中３５例行立体定向抽吸术，３５例行开颅术。另外７０例非手术保守治疗病人作为对照。所有结果经统计学分析。

Objective:To evaluate the effect of the surgical therapies for the elder hypertensive intracerebral hemorrhage,and search for the best treatment for it.Method:70 cases of the elder hypertensive intracerebral hemorrhage have been studied,35 of them have been treated by stereotactic operation,35 by craniotomy.another 70 non-operative cases to be contrasted.All results were analyzed with statistical test.Result:Death rate of the stereotactic operation and craniotomy is lower than that of non-operative group (P<0.05).ADL of stereotactic operation is similar to that of craniotomy,which is higher than non-operative group (P<0.05).Conclusion:Age should not be the most important indication for surgical therapy,and operation should be one of the most important treatment for the elder hypertensive intracerebral hemorrhage.The relationship between GCS,time of operation,method of operation,amount of hemorrhage,site of hemorrhage and prognosis,post-operation hemorrhage have also been discused.