摘要
目的探讨经颞叶入路小骨窗手术治疗基底节区脑出血的疗效。方法回顾分析对78例符合纳入标准的高血压基底节区脑出血患者采用经颞叶入路小骨窗手术清除血肿的临床资料。结果78例患者中,血肿全部清除62例,大部分清除16例,术后再出血4例,其中2次手术2例。术后死亡11例(其中早期死亡7例)。67例随访2年,按日常生活活动能力量表(ADL)分级,Ⅰ级10例,Ⅱ级30例,Ⅲ级19例,Ⅳ级6例,级2例。结论经颞叶入路小骨窗手术清除高血压基底节区脑出血创伤小,时间短,易操作,适用于绝大部分高血压基底节区脑出血患者,能改善高血压脑出血病人的预后。
Objective To study the effection of small - window of skull by temporal approach treated basal ganglia hemorrhage. Methods Retrospectively 78 patients with hypertension accorded with inclusion criteria to hematoma removal. Results The 62 patiens ＂hematoma were all removed and 16 patiens＂ most of hematoma were removed in 78 patiens. 4 persons were recurrent hemorrhage,which second operation were 2 patiens. And there were 11 examples dead after operrations（7 examples died in early stage）. 67patiens were followed - up for 2 years staged by ADL. Level Ⅰ were 10 examples,level Ⅱ were 30 examples,leve nl lwere 19 examples, level Ⅳwere 6 examples,level Ⅴ were 2 examples. Conclusion The small - window of skull by temporal approach treated basal ganglia hemorrhage had the characteristics of little trauma,less time consuming, easy to operate, it was suitable for most of basal ganglia hemorrhage and well to the prognosis.
出处
《临床和实验医学杂志》
2009年第3期29-30,共2页
Journal of Clinical and Experimental Medicine
关键词
高血压脑出血
颞叶入路
小骨窗
手术
Hypertensive cerebral
Temporal approach
Small bone window
Operation
