Surgical treatment for supratentorial hypertensive intracerebral hematoma by modified minicraniotomy approach and bone fragment reduction
10.3760/cma.j.issn.1008-6315.2012.04.029
- VernacularTitle:中小骨窗开颅加骨瓣复位术治疗幕上高血压脑出血87例临床分析
- Author:
Zhanjun LIU
;
Shuyuan YUE
- Publication Type:Journal Article
- Keywords:
Intracerebral hematoma;
Hypertension;
Reduction of bone fragement
- From:
Clinical Medicine of China
2012;28(4):423-425
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the techniques and clinical effects of surgical treatment for supratentorial hypertensive intracerebral hematoma (HICH) by modified minicraniotomy approach and bone fragment reduction.Methods The clinical data of 87 patients with supratentorial HICH in our department from April,2009 to April,2011 who received modified minicraniotomy approach and reduction of bone fragment were retrospectively reviewed.Results Of the 87 patients,three died,and the remaining 84 cases were followed up.According to the ADL( activities of daily living) scale,the patients were classified:Twenty-six cases in grade Ⅰ,28 in grade Ⅱ,22 in grade Ⅲ,6 in grade Ⅳ and 2 in grade Ⅴ.Conclusion The surgical procedure of modified minicraniotomy approach and reduction of bone fragment for treatment of supratentorial HICH has some advantages such as miniinvasion,good exposure,wide visual field,complete clearance of hematoma,integrated skull,and less complications.It is a perfect surgical procedure for supratentorial HICH.
