经侧裂-岛叶入路治疗高血压性基底节血肿疗效观察  

Effect of Surgical Treatment for Hypertensive Basal Ganglia Hematomas Through Transsylvian-insular Approach

作　　者：张一[1] 杨常春[1] 王强[1] 董博[1] 王卉[1] 张峰极[1] 

机构地区：[1]江苏省常州市第一人民医院神经外科,江苏常州213003

出　　处：《中国伤残医学》2012年第10期16-17,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:分析经侧裂-岛叶入路治疗高血压基底节血肿疗效及手术要点。方法:回顾性分析我院2009年～2011年26例经侧裂-岛叶入路治疗的高血压基底节血肿患者的临床资料,手术方法及疗效。结果:26例患者中血肿完全清除19例,血肿清除率>90%3例,血肿清除率<80%4例。本组患者死亡2例,1例死于再出血,1例死于严重肺部感。存活患者随访21～31个月,按格拉斯哥预后评分(GOS评分),良好者13例,中残8,重残4,死亡1例。结论:经侧裂岛叶入路是治疗高血压性基底节出血的良好手术方式。Objective： To summarize the clinical experience of surgical treatment through transsylvian--insular approach for hypertensive basal ganglia hematomas in 26 patients from the year 2009-2011.Methods： A total of 26 patients with hypertensive basal ganglia hematomas underwent surgical treatment through transsylvian--insular approach. Results： After surgery, hematoma was nearly total evacuated in 19 cases, more than 90% in 3 patients,less than 80% in 4 cases. Two patients died. Follow--up assessment according to GOS for 21-31 months revealed good in 13 patients, moderate handicapped in 8 patients, severely handicapped in 4 patients and death in 2 patients. Conclusions： Surgical treatment through transsylvian-insular approach was effective for hypertensive basal ganglia hematomas patients.

关 键 词：高血压脑出血 基底节 经侧裂-岛叶入路 

分 类 号：R743[医药卫生—神经病学与精神病学]