摘要目的 比较小骨窗开颅手术及CT定位微创引流手术治疗高血压基底节区出血的疗效.方法 回顾性分析95例高血压脑出血的临床表现、手术方式及疗效.结果 小骨窗开颅手术51例,CT引导血肿吸引44例.两组年龄、术前血压、血肿量、术前GCS评分及发病至手术时间均无明显差异(P＞0.05).血肿清除量:小骨窗开颅手术组优于CT血肿吸引组(P＜0.05);术后48 h意识好转率小骨窗开颅手术组高于血肿吸引组(P＜0.05);术后血肿继续增大者,CT引导血肿吸引组高于小骨窗开颅下手术组(P＜0.05).结论 小骨窗开颅手术清除血肿充分、止血彻底,疗效优于CT引导血肿吸引术.

abstractsObjective To compare the effect of microsurgical treatment through a small skull window with that of computed tomographic guided aspiration for hypertensive cerebral hemorrhage.Methods The clinical manifestation,operation and prognosis of 95 cases of hypertensive cerebral hemorrhage were analyzed retrospectively.Results The number of microsurgical treatment though a sulall skull window and computed tomographic-guided aspiration were 51 and 44 respectively1 There were no differences in age,blood pressure before operation,size of hematonm,GCS score and time interval before operation of the two groups(P＞0.05).Hematoina was evacuated more thoroughly with the operation of microsurgical treatment through a small skull window than that with computed tomographic-guided aspiration (P＜0.05).The consciousness state elevated for 76.47% patients with the operation of microsurgical treatment through a small skull window and 63.64% patients with computed tomographic-guided aspiration 48 hours after operation(P＜0.05).The rehemorrhage rate of the patients with microsurgical treatment through a small skull window was lower than that of the patients with computed tomographic-guided aspkation(P＜0.05).Conclusion The effect of microsurgery through a small skull window is more satisfactory than that of computed tomographic-guided aspiration.Hematoma could be enough evacuated and exact hemostasis could be achieved with microsurgery through a small skull window.