【摘要】 目的:探讨高血压脑出血早期小骨窗开颅的手术方法及疗效。方法:回顾性分析2006年1月~2011年9月接受早期小骨窗微创脑出血清除术的高血压脑出血患者40例,评价近期和远期疗效。结果:术后第1d血肿残留<30%24例,30%~50%12例,>50%4例;3～7d复查CT血肿基本引流干净。术后3~6个月情况,格拉斯哥预后分级评分(GOS):良好21例,轻残8例,中残8例,重残1例,死亡2例;日常生活能力量表(ADL)评分:5分19例,4分9例,3分8例,2分2例,1分2例。结论:早期小骨窗微创脑出血清除术治疗高血压脑出血临床疗效满意,适合在基层医院开展应用。更多还原

【Abstract】 Objective: To explore application and effectiveness of craniotomy with small bone flap for the early treatment of hypertensive intraeerebral hemorrhage.Methods: A retrospective analysis of 40 patients in our hospital underwent Early craniotomy with small bone flap invasive surgery,evaluate Short-and long-term curative effect.Results: Among the 40 patients,30 patients were good-recovery,8 patients were moderate-deficit,4 patients were severe-deficit,3 patients were persistent vegetative status,5 patients died,and 2 patients self-discharged.The volume of remaining hematoma the first day after operation,the <30%(n=24),30%-50%(n=12),>50%(n=4),and it was almost absent 3 to 7 days later.3 to 6 months after the operation.According to GOS,21 patients had good outcome,8 patients had moderate disability,1 patients had severe disability and 2 cases died.And 19 patients got 5 score in Activities of daily living(ADL) scale,9 patients got 4 score,3score(n=8),2score(n=2),1 score(n=2).Conclusion: Craniotomy with small bone flap have satisfying curative effect,and is suitable to be applied in primary hospital.更多还原