开颅血肿清除术

方法根据设定标准选择性收治高血压基底节区脑出血病人，采用CT简易定位小骨窗开颅血肿清除术治疗143例。

Methods 143 patients with hypertensive cerebral hemorrhage in basal ganglia were treated by small bone window craniotomy after the foci were simply aligned by CT .

将2000-06/2005-01收治的脑出血患者1260例在卒中一体化管理模式下选择药物治疗、CT引导立体定向外引流术、开颅血肿清除术治疗并尽早康复介入作为治疗组；

Totally 1 260 HICH patients treated by pharmacotherapy , CT-guided stereotactic aspiration or evacuation of intracerebral hematomas under the management pattern of multidisciplinary stroke system and received early rehabilitation intervention between June 2000 and January 2005 were selected as treatment group .

术后分别从血肿清除率、血肿复发率、患者死亡率、GOS评级等几个方面与开颅血肿清除术式治疗进行临床疗效比较。

The hematoma clearance rate , recurrence rate , mortality and GOS of the operation were compared with those of craniotomy with bone flap .

骨瓣开颅血肿清除术

Clearance of hematoma by craniotomy with bone flap

目的比较微创血肿粉碎清除术与开颅血肿清除术的疗效。

Objective To investigate the curative effect of minimally traumatic evacuation of hematomas on hypertensive intracerebral hemorrhage .

结果微创碎吸引流术62例，小骨窗开颅血肿清除术53例，大骨窗开颅血肿清除术39例；

Minimal invasive drainage was performed on62 patients , keyhole approach craniotomy on53 and conventional approach craniotomy on39.20 patients died .

结论重症高血压性基底节区脑出血更适合于用穿刺引流加开颅血肿清除术治疗。

Conclusions The puncture drainage as well as craniotomy evacuation of hematoma is better treatment way for severe hypertensive basal ganglia intracerebral haemorrhage .

回顾性分析二年来在本科行手术治疗的高血压脑出血病例共63例，采用小骨瓣开颅血肿清除术，对血肿破入脑室的采用侧脑室外引流术或加用血肿清除术。

Methods : 63 cases of hypertensive intracerebral hemorrhage treated surgical therapy from the year 2001 to 2002 in our department were analyzed retrospectively .

目的：比较微创术、开颅血肿清除术、内科保守治疗对高血压脑出血患者的疗效影响。

Objective : To compare the therapeutic effect about micro-injury operation 、 scavenging intracerebral hemorrhage and no-surgical treatment for patients with hypertensive cerebral hemorrhage .

方法50例Ⅰ～Ⅳ级的自发性脑室内出血病人根据病情分别采用保守治疗，侧脑室外引流术，开颅血肿清除术。

Methods : 50 cases of Spontaneus intraventricular hemorrhage from grade ⅰ to ⅳ were treated with medical management , drainage or craniotomy respectively .

其余11例采用开颅血肿清除术，术后9例恢复平稳，另2例遗有轻偏瘫和不完全性运动失语。

There were still 11 cases who had craniotomy , among which 9 cases recovered smoothly and 2 cases existed hemiparesis and partial motor aphasia .

方法应用小切口显微手术对36例基底节区、皮层下、小脑出血患者行血肿清除治疗，并与大骨瓣开颅血肿清除术的效果比较。

Methods 36 cases of hypertensive intracerebral hemorrhage were treated by microsurgery with small incision , with the surgical effect compared with that by clearance of hematoma by craniotomy with great bone flap .

锥颅碎吸术联合开颅血肿清除术及去骨瓣减压术在重型颅脑损伤并双侧脑疝患者中的应用价值

Efficacy of drainage through cranial trephination combined with craniotomy and hematoma removal and decompression by removal of cranial bone flaps in treatment of severe cranio-cerebral injury combined with bilateral cerebral hernias : report of 150 cases

小骨窗开颅血肿清除术与血肿腔穿刺外引流术在高血压脑出血中的应用穿刺针穿入肿瘤的供应血管和引流血管时，局部回声改变不同。

Applications of Removing Hematoma Through Small Skull Window and of CT Guided Aspiration in the Treatment of Hypertensive Intracerebral Hemorrhage ; When puncture needle was in different vessels ( proliferate or drainage vessels ), the echo change was different .

鉴于患者存在生命危险，医生建议将开颅和血肿清除术作为首选治疗方案，但被其家属以非医疗原因拒绝。

Considering the life-threatening situation , open craniotomy and hematoma evacuation was proposed as the first therapeutic option , but this was refused by his family members for non-medical reasons .

方法针对29例SIH病人头颅CT的不同表现，有针对性地采用开颅超早期血肿清除术加脑室尿激酶反复冲洗持续外引流术，或单纯脑室尿激酶反复冲洗持续外引流术进行治疗。

Methods Twenty-nine patients with SlH were treated either by ultra-early clearance of hematoma , combined with repeated urokinase intraventricular irrigation and continuous drainage or simply by urokinase irrigation and drainage without surgical evacuation lf the hematoma .

标准大骨瓣开颅脑内血肿清除术治疗高血压性脑基底节区出血合并脑疝

Treament of hypertensive basal ganglia hematomas with cerebral herniation through standard grand skull flap decompression

结果：33例行开颅硬膜外血肿清除术，出院时30例无神经功能障碍，3例肢体偏瘫。

Results : 33 cases were performed craniotomy for epidural hematoma clearing.30 cases were recovered without neural dysfunction and3 cases were hemiplegia .