冷光源辅助下小骨窗开颅治疗高血压脑出血  

Evacuation of hypertensive basal ganglial hemotoma by small bone window under cold light

作　　者：高志波[1] 钱令涛[1] 陈彬[1] 李琦[1] 梁卫东[1] 王永志[1] 陈洪山[1] 

机构地区：[1]阜阳市人民医院神经外科,236004

出　　处：《安徽医学》2013年第11期1633-1635,共3页Anhui Medical Journal

摘　　要：目的探讨冷光源辅助下小骨窗开颅治疗高血压基底节区出血的临床效果。方法选择2009年3月至2012年5月46例冷光源辅助下小骨窗开颅血肿清除术治疗高血压基底节区出血患者的临床资料,并与同期46例常规骨瓣开颅手术组治疗效果进行对比,分析血肿清除率、术后再出血、病死率及GOS评分等指标。结果 46例患者平均血肿清除率(90.37±5.65)%,术后再出血4.35%(2/46)。病死率4.35%(2/46)。生存的44例患者术后6个月GOS评分5分10例(22.73%),4分23例(52.27%),3分8例(18.18%),2分3例(6.82%)。结论冷光源辅助下小骨窗开颅术能够有效清除血肿、缩短手术时间、减少患者费用,改善预后,是治疗高血压脑出血很好的手术选择。Objective To discuss the role of small bone window under cold light in the evacuation of hypertensive basal ganglial he motoma. Methods A series of 46 basal ganglial hematomas were evacuated by small bone window craniotomy under cold light. Clinical data and results were retrospectively analysed and compared with those of 46 cases that received conventional bone flap craniotomy surgery, then the treatment effects were analyzed. Results The extent of hematoma evacuation was （90.37 ＋ 5.65 ） %. Postoperative rebleeding was 4. 35% （2/46）. Mortality was 4.35% （2/46）. Six months＇follow up revealed Glasgow outcome scale 5 in 10 patients（22.73% ） ,4 in 23 pa tients （52.27%） ,3 in 8 patients（ 18.18% ） ,and 2 in 3 patients（6.82% ）. Conclusion Small bone window craniotomy under cold light is helpful in clearing hematoma evacuation, shortening operation time, reducing patient cost and improving prognosis, so it is an optimum for basal ganglial hemorrhage.

关 键 词：高血压 脑出血 小骨窗开颅 冷光源 

分 类 号：R651.1[医药卫生—外科学]