CAJ | 학술논문

目的：探讨直切口小骨窗手术治疗基底节区脑出血方法和疗效。方法：回顾我院2008年6月~2013年10月52例基底节脑出血患者发病后均6小时内行小骨窗显微外科手术清除血肿。结果：52例患者中完全清除血肿37例、大部分清除血肿15例,再出血3例、存活44例、死亡8例。根据日常生活活动能力评分(activitiesof daily living,ADL)分级,手术后随访3个月,44例生存者预后达 I 级者 4例,Ⅱ级11例,III 级17例,IV 级8例,V 级 4例。结论：超早期小骨窗手术治疗基底节区脑出血,手术创伤小,时间短,止血可靠,安全有效。手术脑组织损伤小,可缩短昏迷时间,减少并发症,可提高患者生存率和生存质量。
목적：탐토직절구소골창수술치료기저절구뇌출혈방법화료효。방법：회고아원2008년6월~2013년10월52례기저절뇌출혈환자발병후균6소시내행소골창현미외과수술청제혈종。결과：52례환자중완전청제혈종37례、대부분청제혈종15례,재출혈3례、존활44례、사망8례。근거일상생활활동능력평분(activitiesof daily living,ADL)분급,수술후수방3개월,44례생존자예후체 I 급자 4례,Ⅱ급11례,III 급17례,IV 급8례,V 급 4례。결론：초조기소골창수술치료기저절구뇌출혈,수술창상소,시간단,지혈가고,안전유효。수술뇌조직손상소,가축단혼미시간,감소병발증,가제고환자생존솔화생존질량。
Objective:To explore the operative method and therapeutic effect of ultra-ear-ly microsurgery with small bone flap craniotomy on treatment of intracerebral hematomas in basal-ganglia region.Methods:52 patients with intracerebral hematomas in basal ganglia region weretreated by microsurgery with small bone flap craniotomy wihtin 6 hours after cerebral hemorrhagein our department from March 2008 to May 2013.Results:Of total 52 patients,total evacuationof hematoma was achieved in 37 patients, subtotal evacuation in 15 patients,3 patients rebleededafter surgery,44 patients survived,8 patients died.The 44 survivors were evaluated by activitiesof daily living (ADL)3 months after surgery, gradeⅠwas found in 4 cases,Ⅱin 11cases,Ⅲin17 cases,Ⅳin 8 cases,Ⅴin 4cases.Conclusion:Ultra-early microsurgical treatment withsmall bone flap craniotomy for treatment of intracerebral hematomas in basal ganglia region hasadvantages such as less trauma,shorter operation time,effective arrest of bleeding,more slight damage of brain tissue and better therapeutic effects,can decrease the time of coma,reduce thecomplications,increase the survival rate of patients and improve the quality of life of patients.