摘要
目的探讨基层医院对高血压脑出血微创手术治疗的方法。方法应用小切口显微手术对36例基底节区、皮层下、小脑出血患者行血肿清除治疗,并与大骨瓣开颅血肿清除术的效果比较。结果术后存活34例,死亡2例。按GOS评分良好27例,重残、意识清晰但生活不能自理4例,植物生存3例。结论基层医院运用微创手术理念,对高血压脑出血患者行小切口微创手术治疗．可明显提高疗效。
Objective To explore the methods of minimally invasive surgical treatment on hypertensive intracerebral hemorrhage at basic-level hospital. Methods 36 cases of hypertensive intracerebral hemorrhage were treated by microsurgery with small incision, with the surgical effect compared with that by clearance ofhematoma by craniotomy with great bone flap. Results 34 cases survived and 2 cases died after surgery. By GOS, 27 cases were normal, 4 cases were severely disable, sober but unable to care for self, and 3 cases were vegetable survival, and 2 cases were dead. Conclusion Application of minimally invasive surgery with small incision can obviously improve the efficacy on patients with hypertensive intracerebral hemorrhage at the basic-level hospitals.
出处
《中华神经医学杂志》
CAS
CSCD
2006年第7期733-734,共2页
Chinese Journal of Neuromedicine
关键词
高血压
脑出血
微创手术
治疗
Hypertension
Intracerebral hemorrhage
Minimally invasive surgery
Treatment
