小骨窗开颅显微镜下手术治疗高血压脑内血肿的疗效评价
高血压脑内血肿;小骨窗手术,,高血压脑内血肿;小骨窗手术,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨小骨窗显微镜下开颅手术治疗高血压脑内血肿的有效性。方法 高血压脑内血肿25例采用小骨窗开颅显微镜下手术清除脑内血肿，同时行血肿腔外引流，术后应用尿激酶溶解残留血肿；传统大骨窗开颅并去骨瓣减压手术组(骨瓣手术组)28例。结果 小骨窗组手术时间明显短于开颅组(P<0.05)；两类手术术后4周和6个月治疗效果差异无显著性(P>0.05)；小骨窗组死亡率显著低于大骨窗组(P<0.05)。结论 小骨窗开颅清除脑内血肿是高血压脑内出血较合适的救治方法，可有效降低病人死亡率。【关键词】 高血压脑内血肿;小骨窗手术
Microsurgery through small skull window for the treatment of hypertensive intracerebral hemorrhage
LI Chao-yue, SHI Xi-wen.Dep of Neurosurgery, Henan Provincial Peoples Hospital, Zhengzhou 450003, China
【Abstract】 Objective To explore the effect of microsurgery through small skull window on the treatment of hypertensive intracerebral hemorrhage. Methods In 53 patients with hypertensive intracerebral hemorrhage, 25 cases of them, hematoma was removed through small skull window with microscope; 28 cases were received craniotomy and decompressive craniectomy.Results Mortality were reduced distinctly in the small skulll window group(P<0.05); Course of treatment is obviously shortered through the small skull window (P<0.05), but there were no significance on the effect of the different operation(P>0.05).Conclusion The minimal invasive operation in early stage for hypertensive cerebral hemorrhage is a kind of method with the better effects, less damage and more favoral prognosis. ......
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