小骨窗入路显微手术治疗高血压脑出血疗效分析

Efficacy analysis of microsurgical treatment via small bone flap in the treatment of craniotomy hypertensive cerebral hemorrhage

目的探讨小骨窗入路显微手术治疗高血压脑出血的疗效。方法按小骨窗入路手术要求设计切口和入路,显微镜下彻底清除血肿,观察患者术后疗效。结果 64例高血压脑出血患者血肿全清除59例,再出血4例;经6个月随访,恢复良好37例,轻残23例,重残2例,死亡2例。结论小骨窗显微镜下清除血肿治疗高血压脑出血疗效确切,患者术后并发症少,生存质量高。

Objective To explore the curative effect of microsurgical treatment via small bone flap in the treatment of craniotomy hypertensive cerebral hemorrhage. Methods Incisions and approaches were designed for microsurgical treatment via small bone flap. Hematoma was totally removed under a surgical microscope, and the curative effect of patients were observed. Results The hematoma was totally removed in 59 cases all of 64 patients, meanwhile rebleeding occurred in 4 cases. Through 6 months follow-up, 37 cases had good recovery, 23 cases had slight disability, 2 cases had severe disability and 2 cases died. Conclusion Via small bone flap approach to remove hematoma under surgical microscope is effective for hypertensiv ecerebral hematoma, which helps to decrease complications and improve the life quality of the patients.