超早期小骨窗手术治疗基底节区脑出血(附43例临床分析)  

Ultra-early small bone window craniotomy treat basal ganglia hemorrhage(43 cases analysis)

作　　者：高亚峰[1] 常奎[1] 徐敬斌[1] 张义彪[1] 

机构地区：[1]安徽省阜阳市第二人民医院神经外科,阜阳市236015

出　　处：《立体定向和功能性神经外科杂志》2010年第1期34-36,共3页Chinese Journal of Stereotactic and Functional Neurosurgery

摘　　要：目的探讨超早期小骨窗开颅治疗高血压基底节区脑出血的方法和优点。方法回顾性分析43例基底节区脑出血超早期小骨窗开颅治疗的临床资料。结果术后24小时内复查头颅CT,血肿完全清除30例,血肿清除80%以上者13例。存活38例,死亡5例。根据日常生活能力(activities of daily living,ADL)分级,手术后随访3个月以上,38例存活者预后ADLⅠ级3例,Ⅱ级20例,Ⅲ级8例,Ⅳ级4例,Ⅴ级3例。结论超早期小骨窗开颅基底节区脑出血清除术,手术创伤小,时间短,安全有效,并发症少可提高患者生存率和生活质量,是高血压基底节区脑出血较为理想的手术方法。Objective To investigate the methods and benefits of hypertensive basal ganglia hemorrhage treated by ultra-early small bone window craniotomy.Methods The clinical data was analyzed retrospectively of 43 cases of basal ganglia cerebral hemorrhage treated by ultra-early small bone window craniotomy.Results The review of head CT within 24 hours after surgery,30 cases of hematoma completely removed,13 cases of hematoma removal over 80%.38 cases survived and 5 died.According to ADL grade,post-operative follow-up of more than 3 months,The prognosis of 38 cases of survivors are： three cases of grade Ⅰ,Ⅱ grade 20 cases,Ⅲ grade 8 cases,Ⅳ grade 4 cases,Ⅴ grade 3 cases.Conclusion Because of the surgical trauma is tiny,time is short,safe and effective,less complications.the ultra-early small bone window craniotomy is a more ideal surgical method for hypertensive basal ganglia hemorrhage and can improve patient survival and quality of life.

关 键 词：超早期 小骨窗 基底节区脑出血 外科 

分 类 号：R743.34[医药卫生—神经病学与精神病学]