微创手术治疗高血压脑出血及预后影响因素分析

目的:探讨微创手术治疗高血压脑出血手术时机、手术方式与手术效果;分析影响手术治疗预后的因素。方法:回顾性分析我院2000年1月～2009年12月行微创手术治疗的高血压脑出血患者105例的临床资料。结果:105例患者生存86例,术后随访12个月,根据日常生活活动能力(activity of dailyliving,ADL)分级法,Ⅰ级21例,Ⅱ级34例,Ⅲ级15例,Ⅳ级12例,Ⅴ级4例。结论:选择恰当的手术时机及手术方式,能明显地降低病死率及致残率,提高治愈率;术前意识状态及并发症的防治是影响手术疗效的重要因素。

Application of minimally invasive surgery for cerebral hemorrhage due to high blood pressure and analysis of effect factors on prognosis

Objective：To explore the time,mode and effect of minimally invasive surgery for cerebral hemorrhage due to high blood pressure,and analyze effect factors on prognosis.Methods：Clinic data of 105 cases with cerebral hemorrhage due to high blood pressure,treated by minimally invasive surgery from Jan 2000 to Dec 2009 were analyzed.Results：Out of 105 cases,86 cases survived.The follow-up for 12 months showed that according to activity of daily living（ADL）scale,21 cases were at gradeⅠ,34 cases at grade Ⅱ,15 cases at grade Ⅲ,12 at grade Ⅳ and 4 at grade Ⅴ.Conclusions：The proper time and mode of surgery can obviously decline mortality and disablity rate,and increase cure rate.And consciousness before surgery and prevention and treatment for complication play important roles in surgery.