早期小骨窗开颅手术治疗高血压脑出血63例临床体会

Early Small Bone Window Craniotomy Operation in Treatment of Hypertensive Cerebral Hemorrhage : Clinical Analysis of 63 Cases

目的探讨早期小骨窗开颅手术治疗高血压脑出血病的临床应用价值。方法回顾性分析我院2008年至2011年间我院收治的63例高血压脑出血患者的临床资料,总结早期小骨窗开颅手术的临床治疗体会。结果本组63例患者术后血肿完全清除52例,完全清除率为82.5%少量血肿残留11例。患者出院6个月后随访发现,恢复良好19例(30.2%),中残27例(42.9%),重残10例(15.9%),死亡7例(11.1%),生存率为88.9%。结论早期小骨窗开颅术治疗高血压性脑出血具有创伤小、手术时间短、术中出血量少、操作简单等优点,具有较高的临床应用价值。掌握正确手术指征,选择恰当的手术时机,熟练掌握手术技巧对于提高手术成功率,改善预后有积极影响。

Objective To investigate the early small bone window craniotomy operation in treatment of hypertensive cerebral hemorrhage clinical application value.Methods A retrospective analysis of our hospital from 2008 to 2011 years in our hospital,63 cases of hypertensive cerebral hemorrhage in patients with clinical data,summary of early small bone window craniotomy operation clinical treatment experience.Results The 63 cases of patients with postoperative hematoma were completely removed in 52 cases,complete clearance rate of 82.5% small hematoma 11 cases with residual.Patients were discharged from the hospital after 6 months follow-up,19 patients recovered well（30.2%）,moderate disability in 27 cases（42.9%）,severe disability in 10 cases（15.9%）,7 cases of death（11.1%）,the survival rate is 88.9%.Conclusion Early small bone window craniotomy in treatment of hypertensive cerebral hemorrhage with little trauma,short operation time,intraoperative bleeding amount,simple operation and so on,it has high value in clinical application.To master the correct operation indication,selection of the appropriate operation time,mastering the operation skills to improve the success rate of operation,improve the prognosis has positive effects on.