CAJ | 학술논문

目的探讨超早期小骨窗显微手术治疗高血压脑出血的效果.方法对60例符合纳入标准的高血压脑出血患者在发病7 h内采用小骨窗开颅显微手术清除血肿.结果临床治疗60例,分别在术后3 d、5 d复查CT、血肿清除率均在90%以上,无一例再出血,术后3个月日常生活能力(ADL)分级,Ⅰ级12例,Ⅱ级28例,Ⅲ级10例,Ⅳ级4例,Ⅴ级1例,死亡5例.结论超早期小骨窗显微手术是目前治疗高血压脑出血较理想且疗效可靠的手术方法.
목적 탐토초조기소골창현미수술치료고혈압뇌출혈적효과.방법 대60례부합납입표준적고혈압뇌출혈환자재발병7 h내채용소골창개로현미수술청제혈종.결과 림상치료60례,분별재술후3 d、5 d복사CT、혈종청제솔균재90%이상,무일례재출혈,술후3개월일상생활능력(ADL)분급,Ⅰ급12례,Ⅱ급28례,Ⅲ급10례,Ⅳ급4례,Ⅴ급1례,사망5례.결론 초조기소골창현미수술시목전치료고혈압뇌출혈교이상차료효가고적수술방법.
Objective To explore the curative effects of microsurgerical treatment of hypertensive cerebral hemorlhage through ultra- early craniotomy with small bone flap. Methods The intracerebral hematomas were evaculated by microsurgerical treatment of hypertensive cerebral hemorrhage through ultra -early craniotomy with small bone flap with 7 hours after hemorrahage in 60 patients with hyper intracerebral hemorrahage. Results 60 patients were treated in the hospital and three days and five days seperately after the operation was done,the patients was re - examined through CT. The evaculation rate of the intracerebral hematomas reached above 90%, with no patient bleeding again. According to ADL grading,12 was belonged in grade Ⅰ,28 in grade Ⅱ,10 in grade Ⅲ and 4 in grade Ⅳ and 5 patients died. Conclusion Microsurgerical treatment of hypertensire cerebral hemorrhage through ultra - early craniotomy with small bone flap is more ideal ,reliable and effective approach.