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《Chinese Journal of Stereotactic and Functional Neurosurgery》 2009-01
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Ultra-early microsurgery with small bone flap craniotomy for treatment of intracerebral hematomas in basal ganglia region:report of 46 cases

Xuan Jialong,Huang Lumao,Yong Chengming,et al. Department of Neurosurgery,the First People's Hospital of Chaohu,Chaohu 238000,China  
Objective To explore the operative method and therapeutic effect of ultra-early microsurgery with small bone flap craniotomy on treatment of intracerebral hematomas in basal ganglia region. Methods 46 patients with intracerebral hematomas in basal ganglia region were treated by microsurgery with small bone flap craniotomy wihtin 6 hours after cerebral hemorrhage in our department from March 2003 to May 2008. Results Of total 46 patients,total evacuation of hematoma was achieved in 31 patients,subtotal evacuation in 15 patients,5 patients rebleeded after surgery,39 patients survived,7 patients died. The 39 survivors were evaluated by activities of daily living (ADL) 3 months after surgery,gradeⅠ was found in 3 cases,Ⅱ in 9 cases,Ⅲ in 18 cases,Ⅳ in 6 cases,Ⅴ in 3 cases. Conclusion Ultra-early microsurgical treatment with small bone flap craniotomy for treatment of intracerebral hematomas in basal ganglia region has advantages such as less trauma,shorter operation time,effective arrest of bleeding,more slight damage of brain tissue and better therapeutic effects,can decrease the time of coma,reduce the complications,increase the survival rate of patients and improve the quality of life of patients.
【CateGory Index】: R651.12
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