摘要
目的：探讨高血压脑出血早期小骨窗开颅的手术方法及疗效。方法：回顾性分析2006年1月-2011年9月接受早期小骨窗微创脑出血清除术的高血压脑出血患者40例,评价近期和远期疗效。结果：术后第1d血肿残留〈30%24例,30%-50%12例,〉50%4例;3～7d复查CT血肿基本引流干净。术后3-6个月情况,格拉斯哥预后分级评分（GOS）：良好21例,轻残8例,中残8例,重残1例,死亡2例;日常生活能力量表（ADL）评分：5分19例,4分9例,3分8例,2分2例,1分2例。结论：早期小骨窗微创脑出血清除术治疗高血压脑出血临床疗效满意,适合在基层医院开展应用。
Objective： To explore application and effectiveness of craniotomy with small bone flap for the early treatment of hypertensive intraeerebral hemorrhage. Methods： A retrospective analysis of 40 patients in our hospital underwent Early craniotomy with small bone flap invasive surgery,evaluate Short- and long-term curative effect. Results： Among the 40 patients,30 patients were good-recovery,8 patients were moderate-deficit,4 pa- tients were severe-deficit, 3 patients were persistent vegetative status,5 patients died, and 2 patients self-dis- charged.The volume of remaining hematoma the first day after operation, the 〈30%（n=24）,30%-50%（n=12）,〉50% （n=4）, and it was almost absent 3 to 7 days later. 3 to 6 months after the operation. According to GOS,21 patients had good outcome, 8 patients had moderate disability, 1 patients had severe disability and 2 cases died.And 19 patients got 5 score in Activities of daily living（ADL） scale,9 patients got 4 score, 3score（n=8）, 2score（n=2）, 1 score （n=2）. Conclusion： Craniotomy with small bone flap have satisfying curative effect,and is suitable to be applied in primary hospital.
出处
《安徽卫生职业技术学院学报》
2012年第2期20-21,共2页
Journal of Anhui Health Vocational & Technical College
关键词
高血压
脑出血
小骨窗
Hypertensive
Intraeerebral hemorrhage
Small bone flap
