高血压脑出血术式选择及意义

On the Choice and Significance of Surgical Approaches to Hypertensive Hemorrhage

目的：选择高血压基底节区脑出血外科最佳手术方案，提高救治成功率。方法：对我医院神经外科2011年1月～2014年6月手术的患者遵循个体化治疗的原则，按大骨瓣开颅（A）、小骨窗开颅（B）、立体定向钻孔引流（C）、钻孔血肿抽吸引流术（D）、神经内镜手术（E）的手术方式分为5种，结合病人条件，对个体化选择手术时机和术式的疗效进行回顾性分析。结果：个体化手术方式，均可明显提高疗效，降低死亡率。结论：把握好手术时机，选择恰当的手术方式，既要达到手术目的，又要将手术创伤降低到最小程度，是提高手术质量的关键。

Objective： This study aims to master the different surgical approaches to hypertensive basal ganglia intracerebral hemorrhage and choose the best surgical approach so as to improve the rescue efficiency. Methods： The patients treated in the neurosurgery department of our hospital from Jan, 2011 to June, 2014 are divided into five groups according to large trauma craniotomy（ A）, small bone window craniotomy （B）, scull drainage （C）, trephination and drainage treatment for epidural hematoma（ D）, endoscopic neurosurgery （E） . Results： All of the patients were treated on the principle of individualized surgical approaches; this paper retrospectively analyzes the choice of right time for patients operation and their treatment effectives. Conclusion： individualized surgical approaches can improve treatment effectives and reduce rescue efficiency.