Abstract:

【Abstract】 Objective To intestigate the carative effects on the evacuation of cerebral bematoma with minimally invasive sphenotresia in the treatment of hypertensive cerebral hemorrhage. Methods March 2007 to March 2011,the clinical date of 58 cases with hypertensive care bral hemorrhage were analyzed retrospectively. All cases received evacuation of cerebral hemotoma through minimally invasive sphenotresia. The cerebral hematoma was dissolved by injecting urokinase after operation. The drainage tube was extracted after 3-5 days.The currative effects were observed. Results Among the 58 patients,.19 cases were cured,27 cases were improved,7 cases were severe disability and 5 cases died. The total effective rate were in 79.31%. Conclusion For the patients with mild to moderate cerebral hemorrhage, the evacuation of cerehral hematoma with minimally invasive sphenotresia has an exact efficacy, simple manipulation, less trauma and low cost.

Key words: Hypertensive cerebral hemorrhage, Sphenotresia, Evacuation of hematoma, Minimally invasive surgery

摘要：

【摘要】 目的 探讨微创颅骨钻孔脑内血肿清除术治疗高血压脑出血的临床效果。方法 回顾性分析2007年至2011年间在本院住院手术治疗的58例高血压脑出血患者临床资料,采用方法为微创钻孔脑内血肿清除术治疗,术后注入尿激酶溶解血肿,3~5天后拔管。结果 58例患者中19例治愈,27例好转,7例重残,5例死亡,总有效率为79.31%。 结论 对于轻、中度高血压脑出血患者,微创钻孔脑内血肿清除术有确切的疗效,并具有操作简便、手术损伤小、患者费用低等优点,值得在基层医院推广。

关键词: 高血压脑出血, 颅骨钻孔, 血肿清除, 微创手术