开颅术治疗侧脑室出血  

Craniotomy treatment for ventricular hemorrhage

作　　者：黄亚波[1] 张世明[1] 虞正权[1] 孙春明[1] 朱昀[1] 朱巍巍[1] 

机构地区：[1]苏州大学附属第一医院神经外科,215006

出　　处：《中华神经外科杂志》2011年第12期1209-1211,共3页Chinese Journal of Neurosurgery

基　　金：江苏省医学重点学科基金项目（xk2007227）

摘　　要：目的 探讨经纵裂胼胝体入路或经额叶皮层入路治疗侧脑室出血的手术方法和疗效.方法 18例原发性高血压侧脑室出血或丘脑或尾状核出血并发脑室出血的患者,均行经纵裂胼胝体入路（6例）和经额叶皮层入路（12例）清除脑室内血凝块.手术前后所有患者均行头颅CT检查.所有患者均在术后3个月使用GOS评分评估临床预后.结果 预后良好者（GOS≥4）达到50％.术后死亡1例.结论 在侧脑室出血的手术治疗中,经纵裂胼胝体入路或经额叶皮层入路能够安全和有效地清除脑室内血凝块.Objective To investigate the techniques,effectiveness of interhemispheric transcorpus callosal approach with septostomy or frontal transcortical approach for the management of primary hypertensive ventricular hemorrhage.Methods Eighteen patients with primary ventricular hemorrhage or thalamicorcaudate hemorrhage complicated by ventricular hemorrhage received operation for removal of intraventricular blood clots by the interhemispheric,transcorpus callosal approach with septostomy or frontal transcortical approach.All patients received brain CT examination before and after surgery.The clinical outcomes were assessed 3 months after surgery by GOS.Results Good clinical outcomes （ GOS ≥4） were achieved in 50% of patients.The overall mortality rate at 3 months postsurgery was 6%.Conclusions The interhemispheric transcorpus callosal approach with septostomy or frontal transcortical approach is safe and effective for direct removal of intraventricular blood clots for the treatment of supratentorial ventricular hemorrhage with obstructive hydrocephalus.

关 键 词：脑室内出血 开颅术 纵裂胼胝体入路 额叶皮层入路 

分 类 号：R651.1[医药卫生—外科学]