摘要
Abstract
Objective:To discuss on hypertensive cerebral hemorrhage in basal ganglia operation mode selection and influence on prognosis.Methods:In our hospital from 2004 09 to 2012 10 menstrual CT confirmed for hypertensive cerebral hemorrhage in basal gan-glia and in 170 cases of 35-62ml patients,were taken surgical operation to remove the hematoma (group A),60 cases of CT directional intracerebral hematoma minimally invasive surgery ( B group ) ,72 cases of evacuation of hematoma with minimally invasive surgery and craniotomy (C group) 38 cases,We analyzed the rate of rebleeding and the three -month death rate and the prognosis.Results:Three groups of patients with postoperative rebleeding rate ,mortality rate and postoperative recovery ability after operation in three months were compared with statistical significance (P<0.05).Rate of 13.15%rebleeding after operation in C group was significantly lower than that in B group (5/38) 34.72%(25/72),(P<0.05),and A group 15%(9/60) (P =0.05),group C in March,the mortality rate was 5. 26%(2/38) than that in A group (5/60 12%) and B group (15/72 20.83%) (P<0.05 after March);C group of 81.58%patients with grade ADL1-3 (31/38) was more than that in A group (35/60 58.33%) and B group (49/72),68.06%(P<0.05).Conclu-sion:Hypertensive intracerebral hemorrhage patients ,adopt minimally invasive and craniotomy hematoma brain ,could effectively reduce the bleeding in two patients and mortality rate ,improve the postoperative patients with grade ADL 1 -3 ratio,significantly improve the prognosis of the patients .关键词
基底节区高血压脑出血/微创+开颅血肿清除术/2次出血率/病死率Key words
Hypertensive cerebral hemorrhage in basal ganglia/Minimally invasive surgery and craniotomy/Rebleeding rate/Fatality rate分类
医药卫生
