摘要
目的:探讨四种手术方式治疗高血压脑出血的疗效。方法:回顾性分析130例高血压脑出血患者,根据不同病情分别采取微创锥颅血肿腔置管引流术、脑室穿刺外引流术、普通开颅血肿清除术、显微开颅手术等手术方式。结果:130例高血压脑出血中,基本治愈40例,占30.8%;显著进步13例,占10%;进步24例,占18.5%;无变化或恶化20例,占15.4%;死亡33例,占25.4%;显效率40.8%,总有效率59.2%。结论:根据病情选择合适的术式能提高高血压脑出血的手术疗效,显微开颅手术治疗高血压脑出血疗效更好。
Objective：To assess the curative effects of treating hypertensive intracerebral hemorrhage by four different procedures.Methods：The results were retrospectively analyzed in 130 patients with intracerebral hemorrhage treated with procedures of minimally invasive subdural/burr hole drainage,external ventricular puncture and drainage,conventional craniotomy and microscopic craniotomy.Results：Of the total 130 cases,40 were cured on the whole（30.8%）,13 in obvious progress（10%）,24 were improved（18.5%）,20 remained unchanged or worsen（15.4%） and 33 were dead（25.4%）.Marked improvement accounted for 40.8%,and total effective rate was 59.2%.Conclusion：Selection of the surgical technique accommodable to patient′s condition can make efficacious outcomes,whereas microscopic craniotomy appears preferable for patients with hypertensive intracerebral hemorrhage.
出处
《皖南医学院学报》
CAS
2012年第2期122-125,共4页
Journal of Wannan Medical College
关键词
高血压
脑出血
手术方式
疗效
hypertension
cerebral hemorrhage
operation methods
curative effect
