高血压脑出血手术方法与疗效观察分析  

Analysis on the method of operation together with therapeutic effect of hypertensive intracranial hemorrhage.

作　　者：朱成明[1] 王贵富[1] 褚先秋[2] 蒋其俊[1] 邢树员[1] 胡敏[1] 

机构地区：[1]遵义医学院附三院,贵州遵义563002 [2]遵义医学院附一院,贵州遵义563000

出　　处：《四川医学》2008年第2期152-154,共3页Sichuan Medical Journal

摘　　要：目的探讨高血压脑出血外科治疗与不同术式选择,从而选择有效治疗方案。方法通过回顾性分析150例高血压脑出血患者的临床资料,手术方法包括开颅血肿清除+去骨瓣减压术、小骨窗开颅血肿清除术、CT或立体定向引导穿刺术、颅内钻孔血肿腔置管+尿激酶溶解引流术和微创手术及脑室外引流手术方法,分析不同手术时机,手术适应证、手术方案选择、评价治疗效果。结果术前、术后1个月GCS评分比较差异有统计学意义;同时对患者进行术后6个月随访。结论早期手术有利于术后功能改善,应当根据不同病情选择适当的术式。Objective To analyze the curative effect of surgical treatment therapeutic effect and evaluation for hypertensive intraeranial hemorrhage and different methods of operation to select, accordingly to choose to the effective. therapeutic method. Methods 150 eases of hypertensive intracranial hemorrhage were retrospectively analyzed, The surgical approaches included： Hematoma-removed eraniotomy ＋ bone removed flop decompression, hematoma-removed eraniotomy with small bone window,bur hole drainage and urokinase perfusion for treatment of intracerebral hematoma by CT or stereotactie surgery and minimally invasive technique, external ventrieular drainage some the method of operation, in regard to analysis the surgical opportunity, surgical indications and therapeutic efficacy or surgical methods to be chosen. Results There was significant difference between preoperation and one month post operation in GCS scores. The cases were followed up for 6 months and therapeutic effect was satisfactory. Conclusion Early operation is beneficial to the functional improvement, Based on the patients＇ condition,different surgical methods should be chosen.

关 键 词：高血压脑出血 外科治疗 疗效分析 手术方法 

分 类 号：R651[医药卫生—外科学]