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显微手术治疗自发性基底节出血的临床研究
引用本文:黄录茂,赵卫国,胡锦清,杨秀伦,雍成明,杨代明. 显微手术治疗自发性基底节出血的临床研究[J]. 中国临床医学, 2002, 9(6): 644-646
作者姓名:黄录茂  赵卫国  胡锦清  杨秀伦  雍成明  杨代明
作者单位:1. 安徽省巢湖市第一人民医院神经外科,巢湖,238000
2. 上海第二医科大学瑞金医院神经外科,上海,200025
摘    要:
目的:探讨治疗自发性基底节出血的有效措施。方法:将1997年9月-2001年10月采用显微手术治疗的96例自发性脑出血患者,与1994年9月-1997年8月采用常规开颅清除血肿的88例同类患者,在术后血肿清除率,手术死亡率和致残率等方面作对比研究。结果:显微手术能显著提高血肿清除率(P<0.05)、降低术后脑水肿反应发生率(P<0.01),从而显著降低了手术死亡率(P<0.05)和致残率(P<0.05)。结论:显微手术是治疗自发性脑出血患者一种有效的手术方式。

关 键 词:治疗 自发性基底节出血 脑出血 显微手术 手术方式

Clinical Study on Micriosurgical Treatment of Spontaneous Basal Ganglia Hem-orrhage
Huang Lumao Zhao Weiguo Hu Jinqing,et al.. Clinical Study on Micriosurgical Treatment of Spontaneous Basal Ganglia Hem-orrhage[J]. Chinese Journal Of Clinical Medicine, 2002, 9(6): 644-646
Authors:Huang Lumao Zhao Weiguo Hu Jinqing  et al.
Abstract:
Objective: To study the effect of microsurgical treatment on spontaneous basal ganglia hemorrhage. Methods: From September 1994 to August 1997, 88 consecutive patients with spontaneous basal ganglia hemorrhage were treated for e-vacuating hematoma by convertional craniotomy. From September 1997 to October 2001, 96 same cases were treated by craniotomy with microsurgical operations. We compared the results of two groups in the rate of hematoma removal,operative mortality and disability rate . Results:Microsurgical operations increased rate of hematoma removal(P<0.05) .decreased the postoperative brain edema(P<0.01)as well as the operative mortality and disability rate(P<0.05).Conclusion:Microsurgical operation is an effective surgical method for spontaneous basal ganglia hemorrhage.
Keywords:Basal ganglia Brain hemorrhage Microsurgery
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