摘要
目的观察探讨小骨窗开颅血肿清除术治疗高血压脑出血(HICH)的疗效。方法结合菏泽牡丹人民医院2006年8月-2010年9月期间收治的180例患者经小骨窗开颅血肿清除术治疗的高血压脑出血患者的临床资料进行回顾性分析。采用日常生活活动能力(Activities of daily living,ADL)评定患者恢复情况。结果 180例高血压脑出血患者死亡10例,病死率18%。ADL分级Ⅰ级58例;Ⅱ级62例;Ⅲ级32例;Ⅳ级10例;Ⅴ级8例,Ⅵ级10例。结论小骨窗开颅术是治疗高血压脑出血的首要手术方式之一,属于微创手术,具有颅脑伤小、操作简单、且不需颅骨修补、疗效确切、直视下清除血肿视野清楚、利于止血等优点。
Objective To observe the curative effect of surgical treatment of hypertensive cerebral hemorrhage with small bone window.Methods From August 2006 to September 2010,180 patients treated by small bone window of hematoma surgical treatment were analyzed retrospectively.Activitiy of daily living（ADL） was used to assess the recovery.Results Among the 180 cases of hemorrhage patients,10 cases died,with the rate of death 18%.ADL classification： level I 58 cases;Level Ⅱ 62 cases;Ⅲ 32 cases;Level Ⅳ 10 cases;Ⅴ grade 8 cases,Ⅵ level 10 cases.Conclusion Small bone window craniotomy hemorrhage was the primary surgical treatment,belong to one way with craniocerebral injury minimally invasive surgery,small,simple operation,and did not need repair,with exact curative effect,clear vision of skull nasopharynx,favored the hemostatic hematoma etc.
出处
《中华全科医学》
2011年第7期1068-1069,共2页
Chinese Journal of General Practice
关键词
高血压脑出血
小骨窗开颅
血肿清除
疗效
观察
Cerebral hemorrhage
Small bone window
Hematoma
Curative effect
Observation
