摘要
目的 ;探讨小骨窗治疗高血压性脑出血的临床疗效及其应用价值。方法对我院2006年5月至2011年5月期间采用小骨窗开颅治疗的84例高血压脑出血病例的临床资料按照血肿量、血肿部位、发病时间、发病年龄、GCS评分等标准进行回顾性分析。结果本组84例患者死亡9例,病死率10.71%。按照ADL标准评价预后,存活的75例患者在出院后的6个月随访中,Ⅰ级11例,Ⅱ级19例,Ⅲ级22例,Ⅳ级18例,Ⅴ级5例。结论小骨窗开颅治疗高血压脑出血是安全有效的。采用小骨窗开颅治疗高血压脑出血可有效提高临床疗效,降低病死率和致残率。
Objective To investigate the results of applying mini-craniotomy in treating hypertensive cerebral hemorrhage.Methods Retrospectively study the clinical data of 84 patients with hypertensive cerebral hemorrhage treated from May 2006 to May 2011,focusing on the amount of bleeding,time of outbreak,age of outbreak,hematoma location,GCS score and etc.Results Among the 84 cases,9 were dead and the mortality rate 10.71%.According to ADL Standards to assess the prognosis,75 patients were followed up after 6 months of survival.The ratings were： Grade I： 11 cases,Grade II： 19cases,Grade III： 22 cases,Grade IV： 18cases,Grade V： 5 cases.Conclusion Mini-Craniotomy is a safety and effective surgical approach to treat Hypertensive Cerebral Hemorrhage.It can effectively improve the clinical treatment effect,reduce mortality rate and morbidity rate.
出处
《立体定向和功能性神经外科杂志》
2011年第3期180-182,共3页
Chinese Journal of Stereotactic and Functional Neurosurgery
关键词
小骨窗开颅
高血压脑出血
微创
Mini-craniotomy
Hypertension intracerebral hemorrhage
Mini-invasive
