改良小骨窗手术治疗基底节区高血压性脑出血

目的探讨改良小骨窗手术治疗基底节区高血压脑出血的，临床疗效与相关问题。方法回顾性分析58例采用改良小骨窗开颅治疗基底节区高血压性脑出血患者的临床资料。结果术后24h内复查CT，血肿全部（〉90％）清除42例，大部分（70％～90％）清除16例。58例高血压脑出血患者中治愈53例，死亡5例，病死率为8．6％。结论改良小骨窗手术具有创伤小、术野显露充分、血肿清除彻底、止血可靠等特点，是治疗基底节区高血压性脑出血较好的救治方法之一。

Improved small bone window operation in treatment of hypertensive hemorrhage of basal ganglia

Objective To explore clinical effect and related problems of improved small bone window operation in treatment of hypertensive hemorrhage of basal ganglia. Methods Clinical datas of 58 modified small bone window craniotomy treatment patients with basal ganglia hypertensive hemorrhage were analyzed retrospectively. Results All patients haven been accepted CT scanning after operation within 24 hours. Patients with hematoma totally removed （ 〉 90% ） was 42 cases, most （70% -90% ） removed was 16 cases. Fifty-eight cases of gastric regurgitation cured in 53, 5 cases died,the mortality was 8.6%. Conclusions Modified small bone window with small trauma, surgical operation field reveal adequately, hematoma cleared thoroughly, hemostatic reliable, is one of the better treatment methods of basal ganglia hypertensive hemorrhage.