摘要
目的 探索小骨窗开颅治疗老年人高血压性脑出血的手术方法。 方法 2 0 0 0年 1月～ 2 0 0 3年 8月利用CT定位 ,小骨窗开颅治疗老年人高血压性脑出血 5 0例。 结果 术后 12h内复查头颅CT ,血肿清除均达 90 %以上。术后 6个月生存质量按ADL评价 :Ⅰ级 10例 (2 0 0 % ) ,Ⅱ级 2 1例 (42 0 % ) ,Ⅲ级 9例 (18 0 % ) ,Ⅳ级 3例 (6 0 % ) ,Ⅴ级 2例 (4 0 % ) ,Ⅵ级 5例 (10 0 % )。 结论 高龄并非高血压性脑出血手术禁忌 ,采取小骨窗开颅微创术可取得较为满意的效果。
Objective To explore the surgical techniques of keyhole approach craniotomy in the treatment of hypertensive intracerebral hemorrhage in old patients. Methods CT-guided keyhole approach craniotomy was performed to treat 50 old patients with hypertensive hematomas from January 2000 to August 2003. Results CT scans within 12 postoperative hours showed over 90% hematomas were removed. The activity of daily living (ADL) classification results 6 months after the surgery were: grade Ⅰin 10 cases (20.0%), grade Ⅱ in 21 cases (42.0%), grade Ⅲ in 9 cases (18%), grade Ⅳ in 3 cases (6.0%), grade Ⅴ in 2 cases (4.0%), and grade Ⅵ in 5 cases (10.0%). Conclusions Senility is by no means a contraindication for surgery in the treatment of hypertensive hematomas and keyhole approach minimally invasive craniotomy can give a satisfactory effect.
出处
《中国微创外科杂志》
CSCD
2004年第3期227-228,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
老年人
高血压病
脑出血
The aged
Hypertension
Intracerebral hemorrhage
