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目的探讨高血压性脑出血(HICH)术式及手术时机的选择。方法对2000年1月～2011年12月我院收治的625例高血压脑出血患者的手术治疗效果进行回顾性分析。结果高血压性脑出血患者发病至手术时间<6 h组手术再出血率显著高于6～24 h组与>24 h组。颅骨钻孔尿激酶溶解引流术死亡率低于小骨窗开颅术及骨瓣开颅血肿清除术,且临床疗效较好,与其他两种术式比较,差异有统计学意义(P<0.05)。结论 HICH患者应于出血后6～24 h选择合理手术方式进行手术治疗。
Objective To investigate the surgical procedures and timing of hypertensive cerebral hemorrhage (HICH). Methods From January 2000 to December 2011 in our hospital admitted 625 cases of hypertensive intracerebral hemorrhage in patients with surgical treatment were retrospectively analyzed. Results The rate of rebleeding in patients with hypertensive intracerebral hemorrhage until operation time <6 h was significantly higher than that in patients with 6-24 h and> 24 h. The death rate of urokinase-dissolving and drainage in skull drilling was lower than that of skull craniotomy and craters craniotomy, and the curative effect was good. Compared with the other two procedures, the difference was statistically significant (P0.05) . Conclusion HICH patients should be operated 6 ~ 24 h after hemorrhage to choose a reasonable surgical approach.