小骨窗开颅治疗高血压基底节区脑出血探讨  

Therapy of hypertensive cerebral hemorrhage in basal ganglia by small bone window craniotomy

作　　者：潘锋[1] 李娜[1] 周晓平[2] 赵文元[2] 

机构地区：[1]山东省郯城县第一人民医院神经外科,276100 [2]上海第二军医大学附属长海医院神经外科,200433

出　　处：《中华神经医学杂志》2005年第3期262-263,共2页Chinese Journal of Neuromedicine

摘　　要：目的探讨高血压基底节区脑出血外科治疗的最佳术式.方法根据设定标准选择性收治高血压基底节区脑出血病人,采用CT简易定位小骨窗开颅血肿清除术治疗143例.结果143例近期优良率69%;73例随访3～18个月,远期疗效优良.结论该方法是一种操作简便、创伤小、效果良好的治疗方法,可以推广,尤其适合条件一般的基层医院开展.Objective To explore a best surgical approach of hypertensive cerebral hemorrhage in basal ganglia. Methods 143 patients with hypertensive cerebral hemorrhage in basal ganglia were treated by small bone window craniotomy after the foci were simply aligned by CT. Results The effectiveness rate was 69% for all the 143 cases right after craniotomy by GOS scoring. But the 3~18 months follow-up over 73 cases showed the therapeutic effect was even better by GOS and Barthel score. Conclusion Small bone window craniotomy to clear hematoma for patients with hypertensive cerebral hemorrhage is a therapy of simplicity, few injures and good effect and so it can be popularized at the grass-root hospitals.

关 键 词：高血压基底节区脑出血 小骨窗开颅治疗 小骨窗开颅血肿清除术 CT简易定位 脑出血病人 标准选择 外科治疗 远期疗效 治疗方法 基层医院 

分 类 号：R651[医药卫生—外科学]