高血压性基底节区脑出血手术方式的选择  

The selection of surgical methods to hypertensive cerebral hemorrhage in basal ganglia

作　　者：刘宗霖[1] 谭宗德[1] 程新富[1] 

机构地区：[1]解放军161中心医院神经外科,武汉430010

出　　处：《临床急诊杂志》2013年第6期251-253,共3页Journal of Clinical Emergency

摘　　要：目的:对高血压性基底节区脑出血,选择3种不同的手术方式,以提高治疗水平。方法:回顾性分析120例高血压性基底节出血手术治疗病例,其中行骨瓣开颅显微血肿清除术28例,小骨窗开颅显微血肿清除62例,神经内镜下血肿清除30例。结果:随访三个月,死亡15例,存活105例,其中植物生存2例,重残28例,中残36例,良好39例,内镜手术后病残率更低。结论:选择适宜的手术方式,能够挽救大多数患者的生命,内镜手术有助于降低病残率。Objective： To compare the 3 different surgical methods in hypertensive basal ganglia hemorrhage choosing. Method： 120 patients with hypertensive basal ganglia hemorrhage were retrospectively analyzed. In those patients, 28 cases were treated by normal micro-craniotomy, 62 cases by micro-craniotomy with small window of bone, as well as 30 cases by endoscopic surgery. Result： During three months of follow-up, 15 patients died and 105 patients survived of survival patients,2 patients presented plant survival status, 64 patients moderately or severely disabled,while 39 patients recovered. The disability rate after endoscopic surgery was lower than the other two. Conclusion ： Selecting appropriate surgical methods could save most of patients with hypertensive basal ganglia hem orrhage and endoscopic surgery was conducive to reduce the disability rate.

关 键 词：脑出血 手术治疗 内镜手术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]