高血压基底节区出血不同手术方法的比较(附48例报告)  

Three types of surgical treatments for hypertensive intracerebral hemorrhage in or nearby the basal ganglion

作　　者：颜艾[1] 黄承光[2] 周跃[1] 

机构地区：[1]浙江省湖州市中心医院神经外科 [2]第二军医大学长征医院神经外科

出　　处：《临床医学》2005年第6期14-16,共3页Clinical Medicine

摘　　要：目的探讨高血压脑出血的三种手术方法。方法选择GCS在5～12分,原发出血部位均为基底节出血并有严重偏瘫的高血压脑出血病人48例,采取骨瓣开颅、小骨窗开颅、立体定向穿刺引流三种手术方法。结果1月后GCS在11分以上者39例。3月后GOS在3级以上者为26例,半年后GOS在3级以上者39例,3例死亡。结论小骨窗开颅和CT立体定向穿刺方法适用于病情较轻者,骨瓣开颅适用于病情较重者。Objective To evaluate the various surgical treatments of hypertensive intracerebral hemorrhage (HIH).Methods 48 patients with HIH which in or nearby the basal ganglion were respectively received craniotomy,small window operation combined recombinant streptokinase and encephaloupuncture by stereotaxic evacuation. Results The GCS was over 11 in 39 cases and the GOS was over grade 3 in 26 cases in three months.The GOS was over grade 3 in 39 cases in six months.Three cases were dead. Conclusion Small window surgery and sterotactic aspiration should be used in mild cases.Craniotomy should be used in the serious patients.

关 键 词：手术方法 基底节区出血 立体定向穿刺引流 小骨窗开颅 高血压脑出血 原发出血部位 CT立体定向 骨瓣开颅 脑出血病人 基底节出血 方法选择 穿刺方法 GCS GOS 病情 适用 

分 类 号：R651.1[医药卫生—外科学]