经外侧裂-岛叶路径显微手术治疗基底节区脑出血  

Transsylvian-transinsular microsurgery for basal ganglia hemorrhage

作　　者：何承彪 马建荣[2] 黄军[2] 李自强 周杰 熊立芳 唐元辉 

机构地区：[1]长沙泰和医院神经外科,长沙410006 [2]中南大学湘雅医院神经外科,长沙410008

出　　处：《国际神经病学神经外科学杂志》2015年第3期211-215,共5页Journal of International Neurology and Neurosurgery

摘　　要：目的探讨经外侧裂-岛叶入路,显微手术治疗基底节区脑出血的应变策略及疗效。方法回顾性分析37例基底节区脑出血患者的临床资料,其中28例为高血压脑出血;6例为动静脉畸形,2例为大脑中动脉瘤,1例为海绵状血管瘤,均采用经外侧裂显微手术治疗。结果脑内血肿基本清除,动脉瘤全夹闭,动静脉畸形及海绵状血管瘤全切。术后根据改良Rankin评分,0-3分占78%。结论经外侧裂显微手术治疗基底节区脑出血,是一种安全,行之有效的手术方法。Objective To investigate the strategies and efficacy of transsylvian-transinsular microsurgery in the treatment of basal gan- glia hemorrhage. Methods A retrospective analysis was performed based on the clinical data of 37 patients with basal ganglia hemor- rhage, including 28 patients with hypertensive cerebral hemorrhage, 6 patients with arteriovenous malformation, 2 patients with middle cerebral artery aneurysms, and one patient with cavernous angioma. All patients were treated with transsylvian microsurgery. Results Intracerebral hematoma was completely removed; aneurysms were clipped; arteriovenous malformation and cavernous angioma were completely excised. According to the modified Rankin scale, 78% of patients had a score of 0 - 3 after surgery. Conclusions The transsvlvian-transinsular microsurgerv is a safe and effective surgical approach for basal ganglia hemorrhage.

关 键 词：经外侧裂-岛叶入路 基底节区脑出血 显微手术 

分 类 号：R651.1[医药卫生—外科学]