小骨窗开颅治疗高血压脑出血62例

目的探讨小骨窗开颅治疗高血压脑出血的临床效果。方法对2004年5月至2009年5月采用小骨窗开颅血肿清除术治疗的62例高血压脑出血病例的临床资料,根据出血量、发病时间、发病年龄、血肿部位、GCS评分等进行回顾性分析。结果本组62例死亡7例,病死率11.3%。按照ADL标准评定预后,存活55例6个月后随访,I级8例,II级14例,III级16例,IV级13例,V级4例。结论小骨窗开颅术是治疗高血压脑出血的有效手术方式,具有创伤小,手术时间短,术野清楚,血肿清除彻底,病程短,恢复快等优点,可有效提高临床治疗效果,降低病死率和致残率。     

Meningo-encephalocoele of temporal lobe-management by blind SAC closure

Brain herniation into the middle ear and mastoid is rare but is a described complication of chronic ear disease. The diagnosis is mainly clinical and requires a high index of suspicion. This can be confirmed by imaging studies. Different surgical modalities have been described in managing this condition. We present a case managed by combined trans-mastoid mini-craniotomy approach and blind sac closure.     

小骨窗开颅术与大骨瓣开颅术治疗脑出血86例

目的比较小骨窗开颅术与大骨瓣开颅术治疗脑出血的临床疗效。方法回顾性分析我院2008年1月～2011年6月行小骨窗开颅手术及大骨瓣开颅手术86例,比较两组手术时间、术中出血量、住院时间、术后并发症及术后2个月预后情况。结果小骨窗手术时间、出血量及住院时间优于大骨瓣开颅术,但两组并发症及预后无明显差异。结论两种手术方法各有优缺点及适应证,应根据具体情况选择最佳手术方式。     

Meningo-encephalocoele of temporal lobe-management by blind SAC closure

Brain herniation into the middle ear and mastoid is rare but is a described complication of chronic ear disease. The diagnosis is mainly clinical and requires a high index of suspicion. This can be confirmed by imaging studies. Different surgical modalities have been described in managing this condition. We present a case managed by combined trans-mastoid mini-craniotomy approach and blind sac closure.     

小骨窗开颅治疗高血压性脑出血

目的 ;探讨小骨窗治疗高血压性脑出血的临床疗效及其应用价值。方法对我院2006年5月至2011年5月期间采用小骨窗开颅治疗的84例高血压脑出血病例的临床资料按照血肿量、血肿部位、发病时间、发病年龄、GCS评分等标准进行回顾性分析。结果本组84例患者死亡9例,病死率10.71%。按照ADL标准评价预后,存活的75例患者在出院后的6个月随访中,Ⅰ级11例,Ⅱ级19例,Ⅲ级22例,Ⅳ级18例,Ⅴ级5例。结论小骨窗开颅治疗高血压脑出血是安全有效的。采用小骨窗开颅治疗高血压脑出血可有效提高临床疗效,降低病死率和致残率。