超早期小骨窗手术治疗高血压脑出血的临床分析

The Treatment of Small-Window of Skull by Temporal Approach Treated in Basal Ganglia Hemorrhage in Ultra-early stage

目的:探讨小骨窗手术治疗基底节脑出血的疗效。方法:对60例符合纳入标准的高血压基底节区脑出血患者采用超早期小骨窗手术清除血肿。结果:60例患者术后24h内死亡2例,术后24h复查头颅CT,36例完全清除,6例大部分清除,12例少量残存,再出血4例。56例患者半年后随访,按日常生活活动能力量表ADL分级,Ⅰ级27例,Ⅱ级14例,Ⅲ级10例,Ⅳ级3例,Ⅴ级2例。结论:超早期小骨窗手术入路清除高血压基底节区脑出血创伤小,时间短,易操作,能显著改善高血压脑出血病人的预后。

Objective ： To study the curative effect of small- window of skull by basal ganglia hemorrhage in Ultra-early stage . Methods ： In therapeutic time window within 6 hours, retrospective analysis of 60 patients with hypertension in accordance with inclusion criteria to hematoma removal. Results： 2 patients died within 24 h postopera- tively in patients with 60 cases, 24 h after review head CT, 36 eases hematoma were all removed, 6 patients most of hematoma were all removed,12 patients of a small amount of residual, 4 patients were re-bleeding hemorrhage.56 patients after six months follow-up by the daily life activities ability scale grade of ADL： I level 27 eases, ]1 level 14 eases, 10 eases of Ill level, 1V level 3 eases, V level in 2 eases. Conclusion： The small-window of skull by treated basal ganglia hemorrhage had the characteristics of little trauma, less time consuming, easy to operate, it was suitable for most of basal ganglia hemorrhage and good for the prognosis.