CAJ | 학술논문

目的：探讨小骨窗手术治疗基底节脑出血的疗效。方法：对60例符合纳入标准的高血压基底节区脑出血患者采用超早期小骨窗手术清除血肿。结果：60例患者术后24h内死亡2例，术后24h复查头颅CT，36例完全清除，6例大部分清除，12例少量残存，再出血4例。56例患者半年后随访，按日常生活活动能力量表ADL分级,Ⅰ级27例,Ⅱ级14例,Ⅲ级10例,Ⅳ级3例,Ⅴ级2例。结论：超早期小骨窗手术入路清除高血压基底节区脑出血创伤小，时间短，易操作，能显著改善高血压脑出血病人的预后。
목적：탐토소골창수술치료기저절뇌출혈적료효。방법：대60례부합납입표준적고혈압기저절구뇌출혈환자채용초조기소골창수술청제혈종。결과：60례환자술후24h내사망2례，술후24h복사두로CT，36례완전청제，6례대부분청제，12례소량잔존，재출혈4례。56례환자반년후수방，안일상생활활동능역량표ADL분급,Ⅰ급27례,Ⅱ급14례,Ⅲ급10례,Ⅳ급3례,Ⅴ급2례。결론：초조기소골창수술입로청제고혈압기저절구뇌출혈창상소，시간단，역조작，능현저개선고혈압뇌출혈병인적예후。
Objective:To study the curative effect of small-window of skull by basal ganglia hemorrhage in Ul-tra-early stage . Methods:In therapeutic time window within 6 hours, retrospective analysis of 60 patients with hy-pertension in accordance with inclusion criteria to hematoma removal. Results:2 patients died within 24 h postopera-tively in patients with 60 cases, 24 h after review head CT, 36 cases hematoma were all removed, 6 patients most of hematoma were all removed,12 patients of a small amount of residual, 4 patients were re-bleeding hemorrhage.56 patients after six months follow-up by the daily life activities ability scale grade of ADL:Ⅰlevel 27 cases,Ⅱlevel 14 cases, 10 cases ofⅢlevel,Ⅳlevel 3 cases,Ⅴlevel in 2 cases. Conclusion:The small-window of skull by treated basal ganglia hemorrhage had the characteristics of little trauma, less time consuming, easy to operate, it was suitable for most of basal ganglia hemorrhage and good for the prognosis.