258例高血压脑出血手术治疗临床分析

The study on the surgical treatment result of hypertension cerebral hemorrhage in 258 cases

目的 分析258例高血压脑出血手术疗效并探讨提高手术疗效与生存质量的相关因素。方法 总结1992年5月～2002年5月高血压脑出血手术治疗的临床资料.选定手术时机、手术适应症、手术方法与技巧及术后治疗和康复与疗效比较。结果 手术死亡率13.2％(34例)。190例手术2～72个月随访,恢复良好41％(78例),轻残28.9％(55例),重残(含植物生存)22％(43例)。结论 认为超早期手术尽早解除脑受压是手术成功的关键,采用做创与及时术后康复治疗是提高生存质量的重要手段。分析疗效提出了本病的适应症。

Objective To discuss the results of surgical treatment for 258 cases of hypertension cerebral hemorrhage, and explore the relative factors of improving the curative effect and prognosis. Methods 258 cases admitted from May 1992 to May 2002 were selected for finding the relationship among the surgical opportunity, indications, methods and techniques, postoperative treatments and recovery, curative effect. Results Operation death rate was 13.2 % (34 cases). The follow-up surveys were done in 190 cases from 2 to 72 months. 41 % (78 cases) recovered well. 28.9 %(55cases) were moderate disable and 22 % (43 cases) severe disable. Conclusion Releasing super-earlier the compress of brain is the key step of successful surgery. Microsurgery and timely recovering treatment are important for improving the living quality later. Majority of patients have good prognosis under proper treatment.