显微手术治疗高血压基底节脑出血32例临床分析  

Clinical analysis of microsurgical treatment in 32 case of hypertensive basal ganglia hemorrhage.

作　　者：吴虹[1] 蔡俊杰[1] 刘盛明[1] 侯敏[1] 王凡[1] 苑玉清[1] 刘中波[1] 

机构地区：[1]成都市第三人民医院神经外科,四川成都610031

出　　处：《四川医学》2010年第11期1631-1632,共2页Sichuan Medical Journal

摘　　要：目的探讨经外侧裂-岛叶入路显微手术治疗高血压基底节区脑出血的手术方法和疗效。方法自2007年1月～2010年1月对32例高血压基底节脑出血采取经外侧裂-岛叶入路显微手术清除血肿。结果术后1d复查头部CT,血肿清除>80%26例,60%～80%6例,术后6个月根据GOS评分恢复良好9例(28.1%),中残12例(37.5%),重残4例(12.5%),植物生存1例(3%),死亡6例(18.7%)。结论经外侧裂-岛叶入路显微手术治疗基底节区脑出血是一种损伤小、疗效好、预后客观的微创手术方法。Objective To study the therapeutic effects for cerebral in basal ganglia by microneurosurgery via transsylvian fissure-insular approach.MethodsRetrospective analysis was performed in 32 cases with cerebral hematomas in basal ganglia region which were treated by microsurgery via transsylvian fissure-insular approach in our department from 2007.1 to 2010.1.ResultsWith 6 months follow-up study after surgery and according to Glasgow Outcome Score（GOS）,the cases of good recovery（GR）,moderate disability（MD）,severe disability（SD）,persistent vegetative state（PVS） and dead（D） were 9 cases（28.1%）,12 cases（37.5%）,4 cases（12.5%）,1 cases（3%） and 6 cases（18.7%） respectively.Conclusion Micronneurosurgical treatment via transsylvian fissure-insular approach for cerebral hematomas in basal ganglia region is a kind of minimally invasive method with less damage,better effects and more favorable prognosis.

关 键 词：脑出血 基底节区 显微神经外科 经外侧裂入路 

分 类 号：R651.1[医药卫生—外科学]