超早期小骨窗显微手术治疗高血压脑出血的临床疗效  

Clinical Analysis of Small Bone Window Microsurgery for Hypertensive Intracerebral Hemorrhage in Ultra-early Stage

作　　者：肖德勇[1] 张小军[2] 郑广顺[1] 栾晓祖[1] 邱晓毅[1] 

机构地区：[1]福建省厦门市第二医院,福建厦门361021 [2]南京军区福州总医院

出　　处：《中国医学创新》2012年第36期4-6,共3页Medical Innovation of China

摘　　要：目的:研究超早期小骨窗显微手术治疗高血压脑出血的有效性和优越性。方法:采用超早期小骨窗显微手术治疗高血压脑出血35例(显微组),传统开颅手术治疗32例(开颅组),比较两种手术方式的疗效。结果:显微组较开颅组术后恢复优良率明显升高,再出血率和并发症发生率明显下降。结论:超早期小骨窗显微手术治疗高血压脑出血,手术创伤小,止血可靠,并发症少,术后神经功能恢复好,是治疗高血压脑出血的有效方法。Objective：To explore the effectiveness and superiority of small bone window microsurgery for hypertensive intracerebral hemorrhage in ultra-early stage.Method：Thirty-five hypertensive intracerebral hemorrhage cases were treated by ultra-early small bone window microsurgery（microsurgery group）,another 32 cases were operated by traditional craniotomy（craniotomy group）,their efficacies were compared retrospectively.Result：The rate of excellent postoperative recovery in microsurgery group is significantly better than in the craniotomy group,and the rebleeding rate and the complication rate in former were lower than in the latter.Conclusion：The small bone window microsurgery in ultra-early stage is an effective treatment for hypertensive intracerebral hemorrhage,with less trauma,reliable hemostasis,fewer postoperative complications,and better neurologic recovery.

关 键 词：高血压脑出血 超早期 显微手术 

分 类 号：R651.1[医药卫生—外科学]