Abstract：Objective:To discuss the best time of small bone window craniotomy operation in treatment of hypertensive cerebral hemorrhage in basal ganglia area. Methods:82 cases of hypertensive basal ganglia intracerebral hemorrhage were treated from January 2008 to May 2012, according to the pathogenic - operation time was divided into ultra-early group (≤ 6 h, n=45), the early group (7-24 h, n=22) and late group (≥24 h, n=15) a total of 3 groups, using small bone window microsurgical operation treatment. The postoperative complications were observed, postoperative 1 month using the Glasgow Outcome Scale (GOS) assessment of efficacy, 6 months after surgery using activity of daily living scale (ADL) ability classification method for evaluation of patients with living conditions and long-term effect curative effect.Results:The operation was completed smoothly in all the 82 patients, The hematomas were completely drained by the skull CT reexamination in 1 day after the operation, patient's duration in hospital ranged from 20 to 50d, there were 6 death after the operation in the hospitalization period. 76 patients were followed up 6 to 12 months after the operation, with an average time of 8 months. The short term effect was evaluated using the Glasgow Outcome Scale (GOS) in 1 month after the operation, short-term efficacy of group A was better than group B and group C, the difference was statistically significant, group B and group C after healing, there was no significant difference in comparison. The long term effect in three twogroups had no significant difference. The postoperative complication of urinary tract infection rate in the group A than in group B and group C, the rate of hyperglycemia in group had no significant difference.Conclusions:Small window craniotomy microsurgical operation in treatment of hypertensive cerebral hemorrhage, operation should be selected in the operation within 6h after onset, This time of operation is the best therapy and good curative effect.
汪亮，黄录茂，雍成明，杨代明，宣家龙，徐兵. 小骨窗显微手术治疗基底节区高血压性脑出血最佳时机的选择[J]. 中华解剖与临床杂志, 2013, 18(4): 305-308.
WANG Liang,HUANG Lu-mao,YONG Cheng-ming,YANG Dai-ming,XUAN Jia-long,XU Bing. Best Timing of Small Bone Window Craniotomy Operation in Treatment of Hypertensive Basal Ganglia Hemorrhage. Chinese Journal of Anatomy and Clinics, 2013, 18(4): 305-308.
2013, Vol. 18 
