微创小骨窗开颅血肿清除治疗高血压脑内血肿

Key-hole surgery for hypertensive cerebral hematoma

目的评价小骨窗开颅治疗高血压脑出血的疗效。方法采用小骨窗开颅清除血肿,同时在血肿腔内置入引流管,术后应用尿激酶溶解残留血肿。结果术后3d复查头CT,16例血肿清除70%左右,4例血肿清除70%～80%,1例血肿清除95%。随访3个月,GOS良18例,中3例。结论小骨窗开颅手术具有微创,减压满意,术后病人并发症少等优点。

s:Objective To evaluatetheresultsof key-holesurgeryforhypertensivecerebralhematoma.Methods By usingkey-holesurgery to evacuatethecerebralhematoma,atthesametimea drainagewasputintothebedof hematomaandtheurokinasewassuedto dissolvethe postoperativeremainedhematoma.Results The3dayspostoperativeCT scanshowedthatthehematomawasremovedoff70%in16cases,70%-80%in4cases and95%in1case.The GOS3months after the operation was good in18cases and fine in3cases.Conclusion Key-hole surgeryforhypertensivecerebralhematomahassomeadvantages,suchas minimallyinvasive,reducedICPandlesscomplication.