直切口小骨瓣经外侧裂显微手术治疗基底节区脑出血临床分析  

Clinical analysis of straight incision small bone flap in patients with cerebral hemorrhage in lateral basal ganglia

作　　者：邹滔滔 吴相柏 

机构地区：[1]宜都市第一人民医院,湖北宜都443300 [2]宜昌市第二人民医院,湖北宜昌443000

出　　处：《中国实用神经疾病杂志》2017年第23期60-62,共3页Chinese Journal of Practical Nervous Diseases

基　　金：宜昌市医疗卫生科研项目(A17-301-08)

摘　　要：目的探讨直切口小骨瓣经外侧裂显微手术治疗基底节区脑出血的效果。方法选择2014-07-2015-07于宜都市第一人民医院通过直切口小骨瓣经外侧裂显微手术治疗基底节区脑出血患者61例,回顾性分析术后血肿消除情况、并发症情况和随访结果。结果术后12h内复查头颅CT,血肿消除90%58例,并发症20例,死亡1例,随访3~10个月,随访40例,加重1例,无明显改善2例,明显好转37例。结论通过直切口小骨瓣经外侧裂的显微手术治疗基底节区脑出血,创伤口较小且恢复速度较快,有效减少了手术并发症的发生,取得很好疗效。Objective To investigate the microsurgical effect of straight incision small bone flap in patients with cerebral hemorrhage in lateral basal ganglia. Methods A total of 61 patients with intracerebral hemorrhage were treated with microsurgery from July 2014 to July 2015. The clinical data were analyzed retrospectively. The postoperative hematoma evacuation, complications and follow-up results were reported. Results A total of 58 patients with hematoma were recruited in 12 hours after operation. There were 20 patients with complications and 1 patient died. The follow-up period was 3 to 10 months,followed by 40 cases;the patient＇s condition was aggravated in 1 case,stayed no change in 2 cases, and significantly improved in 37 cases. Conclusion Microsurgical of straight incision small bone flap is less invasive, can promote the fast recovery and reduce the surgical com- plications in patients with cerebral hemorrhage in lateral basal ganglia. The therapeutic effects is clear and this therapy is worthy of clinical promotion.

关 键 词：脑出血 小骨瓣 基底节区 显微外科 外侧裂路 

分 类 号：R743.34[医药卫生—神经病学与精神病学]