经外侧裂岛叶入路和经颞叶皮质入路治疗壳核出血疗效比较  

The curative effect comparison of lateral fissure insular approach and temporal cortex approach on treating patients with putamen hemorrhage

作　　者：温洪汉 

机构地区：[1]河北保定法医医院神经外科,保定071000

出　　处：《中国实用神经疾病杂志》2015年第2期30-32,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的比较经外侧裂岛叶入路和经颞叶皮质入路两种手术入路治疗壳核出血的临床疗效及优劣性。方法选取2011-12—2013-12我院收治的100例高血压性壳核出血患者作为研究对象,按随机数表法分为A组和B组,每组各50例。A组患者采取经外侧裂岛叶入路清除血肿,B组患者采取经颞叶皮质入路手术清除血肿。观察2组患者的治疗后的止痛效果及各项生活质量得分变化情况。结果 A组患者术后血肿大部分清除33例(66%),明显多于B组的22例(44%),再出血5例(10%),少于B组的15例(30%),意识状态及神经功能好转29例(58%),多于B组;A组患者术后预后良好38例(76%),多于B组的26例(52%),而完全性失语1例(2%),明显少于B组的12例(24%),2组比较差异有统计学意义(P<0.05)。结论经外侧裂岛叶入路较经颞叶皮质入路在手术清除壳核血肿的治疗中具有更大的优势,值得临床推广。Objective To investigate the curative effect comparison of lateral fissure insular approach and temporal cortex approach on treating patients with putamen hemorrhage. Methods 100 patients with hypertensive putamen hemorrhage in our hospital from December 2011 to December 2012 were randomly divided into A group （n= 50, treated with lateral fissure insular approach） and 13 group （n= 50, treated with temporal cortex approach）. The curative effect and life quality of two groups were compared. Results The hematoma clearance, consciousness state and nerve function improvement rate, and good postoperative prognosis rate in A group were more than these in B group （66% vs 44%, 58% vs 36%, 76% vs 52%, respectively）. The bleeding rate again and complete aphasia rate in A group were lower than these in B group （10% vs 30%, 2% vs 24%）, which had significant difference. Conclusion The curative effect of lateral fissure insular approach has better than that of temporal cortex approach, which is worthy of application.

关 键 词：外侧裂岛叶入路 颞叶皮质入路 壳核出血 

分 类 号：R743.34[医药卫生—神经病学与精神病学]