小骨窗开颅在老年人高血压性脑出血中的临床应用  

Application of keyhole approach craniotomy for hypertensive intracerebral hemorrhage in old patients

作　　者：邓勇[1] 吴习威[1] 韩文涛[1] 张恭逊[1] 吴德俊[1] 费勤勇[1] 

机构地区：[1]武警安徽总队医院神经外科,合肥230041

出　　处：《中国微创外科杂志》2004年第3期227-228,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探索小骨窗开颅治疗老年人高血压性脑出血的手术方法。　方法　 2 0 0 0年 1月～ 2 0 0 3年 8月利用CT定位 ,小骨窗开颅治疗老年人高血压性脑出血 5 0例。　结果　术后 12h内复查头颅CT ,血肿清除均达 90 %以上。术后 6个月生存质量按ADL评价 :Ⅰ级 10例 (2 0 0 % ) ,Ⅱ级 2 1例 (42 0 % ) ,Ⅲ级 9例 (18 0 % ) ,Ⅳ级 3例 (6 0 % ) ,Ⅴ级 2例 (4 0 % ) ,Ⅵ级 5例 (10 0 % )。　结论　高龄并非高血压性脑出血手术禁忌 ,采取小骨窗开颅微创术可取得较为满意的效果。Objective To explore the surgical techniques of keyhole approach craniotomy in the treatment of hypertensive intracerebral hemorrhage in old patients. Methods CT-guided keyhole approach craniotomy was performed to treat 50 old patients with hypertensive hematomas from January 2000 to August 2003. Results CT scans within 12 postoperative hours showed over 90% hematomas were removed. The activity of daily living (ADL) classification results 6 months after the surgery were: grade Ⅰin 10 cases (20.0%), grade Ⅱ in 21 cases (42.0%), grade Ⅲ in 9 cases (18%), grade Ⅳ in 3 cases (6.0%), grade Ⅴ in 2 cases (4.0%), and grade Ⅵ in 5 cases (10.0%). Conclusions Senility is by no means a contraindication for surgery in the treatment of hypertensive hematomas and keyhole approach minimally invasive craniotomy can give a satisfactory effect.

关 键 词：老年人 高血压病 脑出血 

分 类 号：R651.12[医药卫生—外科学]