经纵裂-胼胝体入路治疗脑室出血并急性脑积水  

Interhemispheric-Callosum Approach in the Treatment of Intraventricular Hemorrhage with Hydrocephalus

作　　者：蔡利[1] 王志勇[1] 周毅[1] 敖祥生[1] 刘汉东[1] 黄星[1] 徐廷伟[1] 胡克琦[1] 张海泉[1] 

机构地区：[1]华中科技大学同济医学院附属襄阳市中心医院神经外科,湖北襄阳441021

出　　处：《中国临床医学》2012年第2期126-127,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨经纵裂-胼胝体入路治疗脑室出血伴脑积水患者的临床价值。方法:回顾分析显微镜下经纵裂-胼胝体入路治疗24例脑室出血伴脑积水患者的临床资料。结果:术后无颅内感染及死亡病例。术后3个月随访,日常生活活动能力(ac-tivities of daily living,ADL)分级:I级8例,II级6例,III级5例,IV级5例。结论:经纵裂-胼胝体入路治疗脑室出血伴急性脑积水对于改善患者预后,降低病残率有较高的临床价值。Objective：To explore the clinical value of interhemispheric-callosum approach in the treatment of intraventricular hemorrhage with acute obstructive hydrocephalus.Methods： The clinical data of 24 cases of intraventricular hemorrhage with hydrocephalus treated by microsurgery through interhemispheric-callosum approach were retrospectively analyzed.Results： All patients survived and no postoperative intracranial infection occurred.Eight cases were classified as Grade I,six cases as Grade II,five cases as Grade III,and five cases as Grade IV,under a prognosis grading system of activities of daily living（ADL） after a follow-up of 3 months.Conclusions： Interhemispheric-callosum approach could help to improve the prognosis of intraventricular hemorrhage with hydrocephalus.

关 键 词：脑室出血 急性脑积水 纵裂-胼胝体入路 

分 类 号：R651.1[医药卫生—外科学]