高血压脑出血3种术式的临床疗效分析

Effective cure of hypertensivc cerebral hemorrhagc by operation treatment

目的通过比较3种高血压脑出血常用手术方式,来探讨3种不同手术方式的临床疗效。方法根据患者的具体情况,分别采用大骨瓣开颅血肿清除术、小骨窗显微血肿清除术、软通道血肿抽吸引流术治疗高血压脑出血106例,比较3种术式出院时GOS预后分级。结果大骨瓣开颅血肿清除术49例,良好26例(52%),有效13例(26.5%),不良7例(15.3%),死亡3例(6.1%);小骨窗显微血肿清除术13例,良好9例(76.9%)有效3例(19.2%)不良1例(3.8%),无死亡病例;软通道血肿抽吸引流术44例,良好26例(59.1%),有效12例(25%),不良4例(10.2%),死亡2例(5.7%)。结论根据患者的不同情况个体化选择手术方式,有利于提高高血压脑出血的临床疗效。

Objective To investigate the clinical efficacy of the hypertensivc cerebral hemorrhagc by individualized operation treat- ment. Methods 106 patients with hypertensivc cerebral hemorrhagc were treated by the big bone petal to open the skull haematoma elimina- tion technique, microsurgery with small craniotomy haematoma elimination technique, and removing intractanial hematomas through soft - channel operation according to the patients conditions. Results 49 cases were treated by the big bone petal to open the skull haematoma elimination technique, 3 patients died, and the rate of obvious melioration of awareness was 48.98%. 13 cases were treated by microsurgery with small craniotomy haematoma elimination technique, no patient died, and the rate of obvious melioration of awareness was 61.54%. 44cases were treated by removing intractanial hematomas through soft - channel operation, 2 patients died, and the rate of obvious meliora- tion of awareness was 36.36%. Conclusion Individualized selection of available surgical pattern can improve the clinical effect of hyperten- sivc cerebral hemorrhagc according to the patients different conditions.