摘要
目的探讨超早期小骨窗手术治疗基底节区脑出血方法和疗效。方法回顾我院2003年3月～2008年5月46例基底节脑出血患者发病后均6小时内行小骨窗显微外科手术清除血肿。结果46例患者中完全清除血肿31例、大部分清除血肿15例,再出血5例、存活39例、死亡7例。根据日常生活活动能力评分(activities of daily living,ADL)分级,手术后随访3个月,39例生存者预后达I级者3例,Ⅱ级9例,III级18例,IV级6例,V级3例。结论超早期小骨窗手术治疗基底节区脑出血,手术创伤小,时间短,止血可靠,安全有效。手术脑组织损伤小,可缩短昏迷时间,减少并发症,可提高患者生存率和生存质量。
Objective To explore the operative method and therapeutic effect of ultra--early microsurgery with small bone flap craniotomy on treatment of intracerebral hematomas in basal ganglia region. Methods 46 patients with intracerebral hematomas in basal ganglia region were treated by mierosurgery with small bone flap craniotomy wihtin 6 hours after cerebral hemorrhage in our department from March 2003 to May 2008. Results Of total 46 patients, total evacuation of hematoma was achieved in 31 patients, subtotal evacuation in 15 patients, 5 patients rebleeded after surgery, 39 patients survived, 7 patients died. The 39 survivors were evaluated by activities of daily living （ADL） 3 months after surgery, grade Ⅰ was found in 3 cases, Ⅱ in 9 cases, Ⅲ in 18 cases, Ⅳ in 6 cases, Ⅴ in 3 cases. Conclusion Ultra--early microsurgieal treatment with small bone flap craniotomy for treatment of intracerebral hematomas in basal ganglia region has advantages such as less trauma, shorter operation time, effective arrest of bleeding, more slight damage of brain tissue and better therapeutic effects, can decrease the time of coma, reduce the complications, increase the survival rate of patients and improve the quality of life of patients.
出处
《立体定向和功能性神经外科杂志》
2009年第1期35-37,共3页
Chinese Journal of Stereotactic and Functional Neurosurgery
关键词
小骨窗
超早期
基底节区脑出血
显微外科
Small bone window
Super--early stage
Basal ganglia hematoma
Microsurgery
