超早期小翼点切口锁孔经侧裂-岛叶入路显微手术治疗高血压基底节区脑出血的临床研究  

Microsurgery through Lateral Fissure and Insula via Pterional Keyhole Approach for Hypertensive Cerebral Hemorrhage in the Fundus Node at a Super Early Stage

作　　者：陈东亮[1] 彭玉平[2] 漆松涛[2] 谢庆海[1] 彭涛[1] 颜循金[1] 李云[1] 覃祖业[1] 

机构地区：[1]广西钦州市第一人民医院神经外科二病区,钦州535000 [2]南方医科大学南方医院神经外科,广州510515

出　　处：《中国微创外科杂志》2008年第7期645-647,共3页Chinese Journal of Minimally Invasive Surgery

基　　金：广西钦州市科技计划项目(20062703)

摘　　要：目的探讨高血压脑出血新的手术方法及疗效。方法对12例高血压基底节区脑出血病人在超早期内(≤6h)采用小翼点切口锁孔经侧裂-岛叶入路显微手术治疗。结果手术12例中死亡1例,存活11例。术后因二次出血再手术1例,颅内感染1例。术后随访3～6个月,依据GOS评分,优7例,良3例,中1例。结论超早期小翼点切口锁孔经侧裂-岛叶入路显微手术治疗高血压基底节区脑出血,手术疗效好,为治疗高血压脑出血开辟新的途径。Objective To explore a new surgical method for hypertensive cerebral hemorrhage and its efficacy. Methods A total-of 12 patients with hypertensive cerebral hemorrhage in the fundus node at a super early stage （ ≤6 h） were enrolled in this study. Microsurgery trough the lateral fissure and insula via pterional keyhole approach was employed to treat the patients. Results All but one of the patients survived after the operation. One patient received a second operation because of hemorrhage for twice, one patient developed intracerebral infection. The survivors were followed up for 3 to 6 months. According to GOS scoring system, 7 of them achieved excellent outcomes, 3 were good, and 1 was moderate. Conclusion Microsurgery trough the lateral fissure and insula via pterional keyhole approach is effective for hypertensive cerebral hemorrhage.

关 键 词：脑出血 基底节区 超早期 小翼点 侧裂入路 显微手术 

分 类 号：R651.1[医药卫生—外科学]