锁孔手术微创治疗超早期重症高血压脑出血的临床研究

目的探讨超早期锁孔手术治疗重症高血压脑出血的疗效。方法对117例重症高血压脑出血患者在超早期内采用显微镜下锁孔入路手术开颅清除血肿,治疗结果与同症传统开颅手术患者120例作对比。结果锁孔手术组近期疗效、远期疗效均较传统手术组疗效好,术后并发症少。结论超早期锁孔手术治疗高血压脑出血安全、可靠,大大降低了病人残死率,提高了病人的生存质量。

Minimally invasive keyhole approach for super-early microsurgical treatment of severe hypertensive cerebral hemorrhage

Objective To investigate the effects of the minimally invasive keyhole approach for the severe patients with hypertensive cerebral hemorrhage at super-early period.Methods The effects of 117 severe patients with hypertensive cerebral hemoerrhage who were cured by keyhole approach microsurgery at super-early petiod were analyzed and compared with those of routine craniotomy in another group of similar 120 patients from July 1999 to August 2003.Results The near-term and long-term effects in the keyhole group were more better than those in the routine group, and the postoperative complications were significantly less than the routine group(P<0.01).Conclusions The minimally invasive keyhole approach for microsurgery is superior to routine procedure in the treatment of severe hypertensive cerebral hemorrhage.