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| Under A Microscope Craniotomy Hematoma Removal to Treat the Hypertensive Cerebral Hemorrhage |
| China Three Gorges University People’s Hospital， Yichang 443000， China |
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Abstract Objective： To investigate the microscopically craniotomy hematoma removal clinical effect in the treatment of hypertensive intracerebral hemorrhage. Method： A retrospective analysis treated 253 hypertensive cerebral hemorrhage patients with clinical data under a microscope craniotomy hematoma removal from May 2009 to May 2014，including the conventional decompressive craniotomy hematoma in 68 cases， a small bone window craniotomy hematoma removal in 185 cases. Result： 24 h after operation， all patients were scanned CT， 119 cases of hematoma cleared completely， 87 cases of residual hematoma volume ≤ 10 mL， 46 cases of 10 mL < residual hematoma volume ≤ 20 mL， 1 case of residual hematoma volume 25 mL. According to GOS scale， 5 points in 71 cases， 4 points in 95 cases， 3 points in 55 cases， 2 points in 24 cases， 1 point in 8 cases. Conclusion： Hypertensive cerebral hemorrhage is generally treated with nonsurgery treatment， the surgery treatment is applied when the hemorrhage is severe， accurately grasping the indication of surgery， microsurgery technique， operation time and handle of a variety of postoperation complications are the key points to reduce the mortality and improve the patients’survival rate.
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WEI Xiaobing,WEN Yiqi,LI Sumei,HU Yongzhen,LIU Yang,LONG Qingshan,HUANG Chutao,LIU Xidi. Effects of Neuroendoscopic Translateral Fissure Approach Hematoma Evacuation on Inflammatory Factors, Prognosis, Serum MMP-9 and GM-CSF in Patients with Hypertensive Intracerebral Hemorrhage[J]. 中国医学创新, 2023, 20(8): 5-9. |
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