外侧裂-岛叶入路治疗20例高血压壳核血肿的疗效观察  

Analysis of Effectiveness of Microsurgical Treatment via Lateral Fissure Approach for Hypertensive Putamen Hemorrhage

作　　者：王晓亮[1] 黄金生[1] 杨启明[1] 

机构地区：[1]福建医科大学南平第一医院教学医院神经外科,福建南平353000

出　　处：《中国伤残医学》2010年第4期26-27,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:观察采用外侧裂-岛叶入路治疗高血压性壳核血肿的临床疗效。方法:回顾性分析我院使用侧裂入路治疗的20例高血压壳核出血的临床表现、术后疗效及随访结果。结果:20例中19例存活,死亡1例(死于脑内再出血)。本组死亡率5%(1/20),优良率80%(6/20)。20例半年随访后GOS评定:良好:5例;中残:11例;重残:3例;植物状态:0例;死亡1例。结论:在有手术适应症的高血压壳核出血的病例中,采用外侧裂-岛叶入路显微镜下治疗壳核血肿具有脑组织损伤小,术后并发症和致残率低,恢复功能快等优点,对符合本文所述条件的病例选择侧裂-岛叶入路治疗,可有利于追求更好的神经功能恢复。Objective：To explore the effectiveness of microsurgical treatment via lateral fissure approach for hypertensive putamen hemorrhage.Methods：Retrospective analysis of the clinical manifestation,postoperative effect and follow-up outcome of 20 cases of hypertensive putamen hemorrhage during 2007 and 2009 in my hospital.Results：Among all 20 cases,19 survived and 1 died of abandoning treatment for intracerebral rehemorrhage.The mortality and excellent rates were 5%（1/20）and 80%（6/20）respectively.A half year follow-up of 20 cases were assessed to GOS,among which 5 cases were recovered,11 cases were moderately disable,3 cases were severely disabled,0 case was plant-survival and 1 case resulted in death.Conclusion：In the cases of hypertensive putaminal hemorrhage with indication,microsurgical treatment via lateral fissure approach for hypertensive putamen hemorrhage will be beneficial not only to the protection of blood vessel and brain tissue,but also to reduction of post-operative complications 、lower morbidity,and the fast recovery.The selection of microsurgical treatment via lateral fissure approach for the suitable patient of hypertensive putamen hemorrhage may be beneficial to pursue a better recovery of neurological function.

关 键 词：外侧裂-岛叶入路 高血压 壳核血肿 

分 类 号：R544.1[医药卫生—心血管疾病]