超早期显微锁孔手术治疗高血压脑出血的临床效果观察

Clinical effect observation of excess-early microscopic lock surgery operation treating hypertensive intracerebral hemorrhage

目的探讨在高血压脑出血患者中超早期应用锁孔手术进行治疗的临床疗效。方法回顾性分析32例经锁孔超早期显微手术治疗的高血压脑出血患者的临床资料。结果术后7dCT复查,彻底清除23例,少量残留9例。术后随访3～6个月,依据GOS评分,优9例,良12例,中7例,差3例,死亡1例,优良率为65.6%。结论早期锁孔手术治疗高血压脑出血手术损伤小,血肿清除及止血彻底,患者预后好,值得临床推广。

Objective To explore the clinical effect of curing excess-early hypertensive intracerebral hemorrhage by the method of microscopic lock surgery operation. Methods Clinical date of thrity-two cases were retrospectively analyzed by excess-early microscopic lock surgery operation treating hypertensive intracerebral hemorrhage. Results Seven days after surgery, CT reviewed, there were 23 cases whose hematoeele were fully eliminated and there were 9 patients of whom a few rudimental hematocele were still in its place, followed up over 3 to 6 months, there were 9 cases proved to be excellent, 12 cases turned out to be good, 7 cases turned out to be medium, 3 cases turned out to be inferior and one case of patient was died, the excellent rate was 65.6%. Conclusion There is less injury to cure hypertensive intracerehral hemorrhage with excess-early microscopic lock surgery operation. It is with such clinical effects as removing hematoma and hemostatie thoroughly. The prognosis of patients is good. It is worth being popularized in clinical treatment.