重型高血压基底节脑出血并破入脑室的手术治疗效果分析  

Curative effect of surgical treatment for severe hypertensive intracerebral hemorrhages in basal ganglia and broken into ventricles

作　　者：江峰 吴淼经[2] 吴檑 祝新根[2] 江自强[2] 

机构地区：[1]广州市中西医结合医院神经外科,广东省广州510800 [2]南昌大学第二附属医院神经外科

出　　处：《中国基层医药》2015年第5期643-645,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：探索重型高血压基底节脑出血并破入脑室治疗的方法。方法回顾性分析经中央后回后部－外侧裂上部入路显微手术治疗重型高血压基底节脑出血并破入脑室16例患者的临床资料，术中打通血肿腔与脑室，颅脑外引流器放置在血肿腔。结果术后6个月依据GOS评分，16例患者其中6例较好，4例中残，2例重残，1例植物生存，3例死亡。结论经中央后回后部－外侧裂上部入路开颅显微手术是治疗重型高血压基底节脑出血并破入脑室的理想方法，可以降低病死率。Objective To investigate the clinical treatment of severe hypertensive intracerebral hemorrhage in basal ganglia and broken into ventricles .Methods 16 patients with severe hypertensive intracerebral hemorrhage in basal ganglia and broken into ventricles received microsurgical treatment using posterior central gyrus posterior -lateral fissure upper approach .The hematoma cavity and ventricle were opened ,and brain surgical department drainage was placed in the hematoma cavity in the operation .The curative effect was analyzed retrospectively 6 months after operation.Results According to Glasgow Outcome Scale （ GOS）：6 cases had good recovery;4 cases had moderate disability;2 cases had severe disability;1 case was in persistent vegetative state and 3 cases were dead .Conclusion Craniotomy microsurgical operation using posterior central gyrus posterior -lateral fissure upper approach is an effec-tive treatment of severe hypertensive intracerebral hemorrhage in basal ganglia and broken into ventricles .The fatality rate was reduced .

关 键 词：神经外科手术 脑出血 

分 类 号：R651.12[医药卫生—外科学]