脳内出血の治療に手術は役にたつか
1988 年 10 巻 6 号 p. 463-467
詳細
1988 年 10 巻 6 号 p. 463-467
The validity of surgical proceizures in the treatment of intracerebral hematoma was evaluated by a clinical study of 441 cases with intracerbral hematoma admitted to the Department of Neurosurgery, Tokyo Women's Medical College from 1980 to 1987.
The author recognized that the degree of severity of pathological features influencing the prognosis varies with the individual case. From a biological point of view, the conventional clinical classification of patients with intracerebral hematoma is unreasonable and not available for the exact evaluation of therapy. However the evaluation of therapy is used to be done by estimating the prognosis of patients divided into several groups according to a classification formula. Such method of evaluation could not be justified, because of the classification of patients being artificial, and not biological.
The conclusion is as follows. The removal of intracerebral hematoma by craniotomy, CT guided stereotactic aspiration of hematoma or ventricular drainage is an effective procedure at the therapy of intracerebral hematoma in the case of adequate operative indication and procedure by a skillful neurosurgeon.
