小骨窗开颅术治疗高血压脑出血58例分析

目的探讨小骨窗开颅手术治疗高血压脑出血的临床疗效。方法对58例高血压脑出血患者采用小骨窗开颅术治疗。采用日常生活能力（ADL）评定患者恢复情况。结果术后半年随访,ADL分级Ⅰ级17例（29.3%）,Ⅱ级26例（44.8%）,Ⅲ级5例（8.6%）,Ⅳ级6例（10.3%）,Ⅴ级1例（1.7%）,Ⅵ级3例（5.2%）。结论小骨窗开颅术是治疗高血压脑出血的有效手术方式,但要严格掌握手术时机和手术适应证。

Small bone window craniotomy for hypertensive cerebral hemorrhage in 58 patients

Objective To explore the clinical effect of small bone window craniotomy on hypertensive cerebral hemorrhage. Methods Fifty-eight patients with hypertensive cerebral hemorrhage were treated with small bone window craniotomy. Activity of daily living （ADL） was used to evaluate therapeutic effect. Results A follow-up study carried out 6 months after operation showed that among the 58 patients, there were 17 cases （occupied 29.3% ） at stage Ⅰ , 26 cases （44.8%） at stage Ⅱ , 5 cases （8.6%） at stage Ⅲ, 6 cases （ 10.3% ） at stage Ⅳ, 1 cases （ 1.7% ） at stage Ⅴ, and 3 cases （5.2%） at stage Ⅵ. Conclusion Small bone window craniotomy is effective for hypertensive cerebral hemorrhage, but its operation timing and operation indications should be strictly controlled and monitored.