不同术式治疗高血压脑出血的疗效分析

[目的]比较骨瓣开颅、小骨窗开颅、血肿碎吸术治疗高血压脑出血的临床疗效。[方法]分别选择GCS 8~12分80例和GCS 5~7分70例高血压性基底节区脑出血病例,分为骨瓣组、小骨窗组、血肿碎吸组行显微手术治疗。[结果]GCS 8~12分80例中:骨瓣组28例,小骨窗组27例,血肿碎吸组25例。血肿碎吸组在手术疗效、预后等方面优于骨瓣组和小骨窗组,差异有显著性意义(P均<0.05)。GCS 5~7分70例中:骨瓣组24例,小骨窗组23例,血肿碎吸组23例,骨瓣组在手术疗效、预后等方面优于小骨窗组和血肿碎吸组,差异有显著性意义(P均<0.05)。[结论]对于病情较轻者(GCS 8~12分),血肿碎吸术优于小骨窗开颅和骨瓣开颅。对于病情较重者(GCS 5~7分),骨瓣开颅优于小骨窗开颅和血肿碎吸术。

Clinical investigation of surgical treatments in hypertensive intracranial hemorrhage

[Objective] This is a clinical study to explore the curative effects of craniotomy,small bone window penetration(SBWP) and surgery crashing and aspirating hematoma(SCAH) in the treatment of hypertensive intracranial hemorrhage(HCH).[Methods] Eighty basal ganglion HCH patients with GCS score 8 to 12 and 70 basal ganglion HCH patients with GCS score 5 to 7 were divided into craniotomy group,SBWP group and SCAH group from June of 2003 to June of 2008.They were performed with respective surgical operation.[Resu...