显微外科微创手术治疗86例高血压性基底节区脑出血的临床观察  

作　　者：张晓峰[1] 零达尚[1] 张建国[1] 

机构地区：[1]南方医科大学附属小榄人民医院神经外科,528415

出　　处：《当代医学》2012年第18期44-45,共2页Contemporary Medicine

摘　　要：目的探讨采用显微外科联合小骨窗微创手术治疗基底节区脑出血患者的临床效果。方法回顾性分析单纯小骨窗手术82例为对照组,显微外科联合小骨窗微创手术86例为治疗组,评定手术效果,并对预后进行统计分析。结果术后血肿残留、术后大面积脑梗死发生率和预后分级有统计学差异,治疗组各项指标明显优于对照组。结论显微外科联合小骨窗微创手术治疗基底节区脑出血,能提高病变的放大视觉效果,减少了术后大面积脑梗死的发生,有利于改善患者预后。Objective To explore clinical effect of the microsurgical in combination with small bone window minimally invasive surgical treatment of cerebral hemorrhage in basal ganglia. Methods Retrospectively analysised 82 cases with simple small bone window surgery as control group, 86 cases with microsurgical in combination with small bone window minimally invasive surgery as treatment group. Evaluated the operation effect, and the prognosis of statistical analysis. Results There was statistically significant in postoperative residual hematoma and large cerebral infarction incidence and prognosis grading, the index of the treatment group was better than control group. Conclusion Microsurgery in combination with small bone window minimally invasive surgical treatment of cerebral hemorrhage in basal ganglia, can improve the Amplified visual effect of the lesion, reduce postoperative large area of cerebral infarction, and improve the prognosis of patients.

关 键 词：颅内出血 微创神经外科 高血压 

分 类 号：R651.1[医药卫生—外科学]