小骨窗显微手术治疗基底节区高血压性脑出血的临床分析

A clinical analysis on small bone window microsurgical treatment for basal ganglia hypertensive hemorrhage

目的探讨应用小骨窗显微手术治疗基底节区高血压性脑出血的临床效果。方法通过对本院2006年1月至2012年8月96例基底节区高血压性脑出血，患者在发病24小时内行小骨窗显微手术清除颅内血肿。结果所有患者在清除颅内血肿后3小时、5小时分别行头颅CT检查，发现血肿清除率为89％，无发现再出血病例。术后3个月患者日常生活能力（ADL）分级[1]为：I级15例，Ⅱ级21例，Ⅲ级28例，Ⅳ级21例，V级5例，死亡6例。结论小骨窗显微手术治疗基底节区高血压性脑出血有理想的疗效，建议进一步推广。

Objective To investigate the clinical efficacy of small bone window microsurgical treatment for basal ganglia hypertensive hemorrhage. Methods 96 patients with basal ganglia hypertensiv hemorrhage who had undergone small bone window microsurgical treatment for removal of intracranial hematoma within 24 hours after onset during the period of January 2006 to August 2012 were included in this study. Results Cranial CT scans were performed on all the patients 3 and 5 hours after the removal of intracranial hematoma, showing a rate of hematoma removal of 89%. No rebleeding occurred. 3 months after the procedure, activities of daily living （ADL） classification revealed grade I in 15 pa^ients, grade II in 21, grade III in 28, grade IV in 21, and grade V in 5; 6 patients were dead.Conclusions Dma11 bone window microsurgical treatment is an effective procedure for basal ganglia hypertensive hemorrhage. It is worth further popularizing.