摘要
目的探讨超早期小骨窗手术治疗基底节区高血压脑出血的疗效。方法对我院2005年1月～2007年12月460例基底节区高血压脑出血患者资料进行回顾性分析。其中选择2005年1月～6月住院110例为内科治疗组,2005年7月～2007年12月住院350例为超早期小骨窗手术组。随访3个月,按日常生活能力(ADL)进行神经功能缺损程度评价。结果按ADL评价疗效,内科治疗组为Ⅰ级8例(7.3%),Ⅱ级23例(20.9%),Ⅲ级17例(15.5%);超早期小骨窗手术组Ⅰ级40例(11.4%),Ⅱ级127例(36.3%),Ⅲ级80例(22.9%),超早期小骨窗手术组疗效明显好于内科治疗组(P<0.05)。结论超早期手术的并发症发生率降低,术后再出血率未见增加。中等量血肿的病人采用小骨窗手术可减少致残率。
Objective To explore the therapeutic effects of ultra-early small bone window craniotomy（USBWC）on hypertensive cerebral hemorrhage（HCH）in basal ganglia.Methods From January 2005 to December 2007,the clinical data of 460 patients with HCH in basal ganglia were analyzed retrospectively.Among them,110 inpatients admitted from January 2005 to June 2005 were selected as medical treatment group and other 350 ones admitted from July 2005 to December 2007 were chosen as USBWC group.After 3-month follow-up,the assessment of neural functional deficit was done according to the activities of daily living（ADL）.Results The curative effects were classified by using ADL.In medical treatment group,there were 8 cases of class Ⅰ（7.3%）,23 cases of class Ⅱ（20.9%）and 17 cases of class Ⅲ（15.5%）.In USBWC group,40 cases（11.4%）belonged to class Ⅰ,127 cases（36.3%）class Ⅱ and 80 cases（22.9%）class Ⅲ.The therapeutic effects of USBWC group were significantly better those that of medical treatment group（P0.05）.Conclusion The incidence of complications appears to decrease and the rehaemorrhagia does not increase following USBWC in patients with HCH.Moreover,in those with the moderate volume（30-80 ml）of hematoma,USBWC can reduce the disability rate.
出处
《西南国防医药》
CAS
2010年第5期483-485,共3页
Medical Journal of National Defending Forces in Southwest China
基金
2005年南充市重点科学技术研究项目(200576)
关键词
脑出血
高血压
治疗
小骨窗
超早期
神经功能缺损
cerebral hemorrhage
hypertension
small bone window
ultra-early
neural functional deficit
