【摘要】 目的 研究高血压脑出血手术的微创化和减少周围神经组织的继发性损伤。 方法 利用小骨窗开颅和显微外科技术治疗126例高血压脑出血，与对照组(常规手术组)比较术后患者的生存质量、并发症及预后。 结果 患者重残率、病死率明显下降，血肿清除率明显提高，血肿复发率下降。术后24h GCS评分明显提高。 结论 采用显微外科技术可以有效保护血肿周围脑组织和重要豆纹动脉穿通支，减少因手术引起的继发性损伤。术后神经功能恢复快，并发症少，可以发现肉眼难以发现的合并症。

    关键词 高血压脑出血 显微外科 小骨窗开颅

    Clinical study on microcraniotomy and micromanipulation in treatment of hypertensive cerebral hemorrhage

    Sun Zhigang，Chen Wei，Bao Jinsuo，et al.

    Department of Neurosurgery，The Hospital Affiliated to Inner Mongolia University For Nationalities，Tongliao028000

    【Abstract】 Objective To decrease traumatic and the secondary injury of brain tissue during hypertensive cerebral hemorrhage operation.Methods Microcraniotomy and micromanipulation were applied to the treatment of126patients with hypertensive cerebral hermorrhage.The patient life quality and survival rate were compared to those with routine operation.Results The patient life quality and survival rate were improved.Severe disability and mortal-itywere decreased remarkably.Hemorrhage eliminable rates were increased and hemorrhage relapse rates were de-creased.The Glasow coma score(GCS)of those patients were increased during24hours after operation.Conclusion Micromanipulation during operation effecttively protects the surrounding brain tissue and perforating branch and de-creases the secondary artery injures and surrounding brain tissue infarction after the operation.The postoperative ner-vous functions were recoveried fastly and postoperative complications were decreased. ......