显微外科手术治疗外伤性脑内血肿

Microneurosurgical technique in treatment of traumatic intraparenchymal hematomas

目的探讨显微外科手术治疗外伤性脑内血肿的优越性。方法回顾性分析总结收治的22例显微外科手术治疗的外伤性脑内血肿病例的临床资料并与25例常规肉眼清除血肿手术组术后并发症及治愈情况相比较。结果在伤后1个月根据GOS评估:显微手术组良好15例,中残4例,重残2例,死亡1例,常规手术组GOS评估:良好9例,中残8例,重残5例,死亡3例。结论显微外科手术能提高手术疗效,降低术后并发症,减少残障率。

Objective To investigate the superiority of microneurosurgical operation in the treatment of intraparenchymal hematomas. Methods The clinical data of 22 patients underwent microneurosurgical operation in our hospital, compared with the 25 patients by the conventional surgery, were analyzed retrospectively. Results One month later GOS of these patients showed that in the group of microneurosurgical operation , 15 patients got good recovery, 4 were moderately disabled,2 severely disabled and 1 died. In the group of conventional surgery ,9 patients got good recovery, 8 were moderately disabled, 5 severely disabled and 3 died. Conclusion Using microneurosurgical technique can enhance the curative effect, decrease the post-operative complications and reduce the morbidity.