带孔小骨瓣回置开颅术治疗高血压脑出血  

Perforated small flap back home craniotomy for treating hypertensive intracerebral

作　　者：张宏图[1] 

机构地区：[1]山东省菏泽市立医院神经外科,274031

出　　处：《中国实用医刊》2012年第22期73-75,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨带孔小骨瓣回置开颅术治疗高血压脑出血的优势，提高临床疗效。方法随机采用带孔小骨瓣回置开颅术治疗高血压脑出血52例，小骨窗开颅术治疗高血压脑出血52例，对比两组患者术后并发症、病死率及恢复良好率。结果带孔小骨瓣回置开颅术治疗高血压脑出血较小骨窗开颅术避免了手术后颅骨缺损、脑膨出等，病死率低，恢复良好率提高。结论带孔小骨瓣回置开颅术治疗高血压脑出血是对小骨窗开颅术的进一步完善，在患者神经功能恢复、提高生活质量方面有更大的优势。Objective To investigate the advantages of the perforated small flap back home cra- niotomy for treating hypertensive intracerebral hemorrhage. Methods Randomly using a perforated small flap back home craniotomy for treating hypertensive intracerebral hemorrhage in 52 cases. Small bone window craniotomy for treating hypertensive intracebral hemorrhage. Then compared the postopera- tive complications, mortality and recovery rate between the two groups. ResuLts Perforated small flap back home craniotomy for treating hypertensive intraeerebral hemorrhage prevented some postoperative complications such as skull defect, encephalocele etc. So the mortality rate was lower and the recovery rate was increased. Conclusions Perforated small flap back home craniotomy for treating hypertensive intracerebral hemorrhage is the further improvement for small bone window and have a great advantage to improve the quality of life in patients with nerve function recovery.

关 键 词：高血压脑出血 开颅术 带孔小骨瓣 回置 

分 类 号：R651[医药卫生—外科学] R544[医药卫生—临床医学]