经颞部小骨窗软通道治疗高血压性脑出血83例

83 cases for curing hypertensive intracerebral hemorrhage by small window of temporal bone and soft channel

目的探讨经颞部小骨窗软通道治疗高血压性脑出血技术可行性及优势。方法研究2009年来采用经颞部小骨窗软通道穿刺引流治疗高血压性基底节区脑出血83例。结果患者术后1个月均存活。患者ADL分级:Ⅰ级12例,Ⅱ级28例,Ⅲ级27例,Ⅳ级11例,Ⅴ级5例。术后均有较好效果。结论术中定位穿刺血肿准确,手术创伤小,时间短。同时通过和对照组统计学检验证明手术可以有效的清除血肿。并发症情况和患者存活情况并无显著差异,微创手术的风险及并发症得到了有效控制,利于患者神经功能恢复并降低了病死率。

Objective To investigate the technical feasibility and advantage of hypertensive cerebral hemorrhage treatment by small window of temporal bone and soft channel.Methods 83 cases of puncture drainage were researched for hypertensive cerebral hemorrhage of basal ganglia by small window of temporal bone and soft channel since 2009.Results Patients were all alive one month after surgeries.ADL classification of patients：Level Ⅰ 12 cases,level Ⅱ 28 cases,level Ⅲ 27 cases,level Ⅳ 11 cases,level Ⅴ 5cases.Postoperative had good effect.Conclusion Puncture locating of hematoma is accurate,lower surgical trauma and shorter time.Through surgery can remove the hematoma effectively by the statistical tests with control group.And it is no significant difference of complications and patient survival situations.The risks and complications of invasive surgery can effectively control,helps to recover neurological function and reduce the dead rate.