高血压脑出血小骨窗手术治疗体会

Experience of small bone window craniotomy in the treatment of patients with hypertensive intracerebral hemorrhage

目的探讨小骨窗手术治疗高血压脑出血的疗效。方法在CT定位下,采用小骨窗手术对36例高血压脑出血患者行血肿清除治疗。术后3个月采用日常生活能力(activity of daily living,ADL)量表评价疗效。结果根据ADL评价结果,Ⅰ级7例,Ⅱ级9例,Ⅲ级10例,Ⅳ级4例,V级3例,死亡3例。恢复良好率为72.2%(26/36)。结论运用小骨窗手术治疗高血压脑出血,是一种简便有效的治疗方法。

Objective To explore the therapeutic effect of small bone window craniotomy in the treatment of patients with hypertensive intracerebral hemorrhage. Methods Evacuation of hematoma were performed by small bone window craniotomy under CT orientation in 36 patients with hypertensive intracerebral hemorrhage. Activity of daily living（ADL） was used for evaluating the therapeutic effect three months after operation. Results Evaluated by ADL,ADL Grade I was found in 7 patients,Grade Ⅱ in 9 patients, Grade Ill in 10 patients,Grade IV in 4 patients, Grade V in 3 patients,3 patients died. The good recovery rate was 72. 2% （26/36）. Conclusion The small bone window craniotomy is a simple and effective therapeutic method in the treatment of patients with hypertensive intracerebral hemorrhage.