“锁孔”手术治疗高血压脑壳核出血  

Treatment of hypertensive basal ganglia hematoma by keyhole approach surgery

作　　者：陈坚[1] 朱文昱[1] 兰青[1] 黄强[1] 

机构地区：[1]苏州大学附属第二医院神经外科,江苏苏州215004

出　　处：《中华神经医学杂志》2003年第1期27-30,共4页Chinese Journal of Neuromedicine

摘　　要：目的探讨'锁孔'手术治疗高血压脑壳核出血的疗效.方法CT定位,按'锁孔'手术要求设计切口和人路,显微镜下清除全部血肿,对出血动脉予电凝止血.结果13例壳核出血经4～12月随访,恢复良好者7例,轻残者4例,死亡2例.结论'锁孔'开颅,显微镜下清除血肿是治疗高血压脑壳核出血的较好方法,可提高患者的生存质量,减少并发症.Objective To probe into the effectiveness of keyhole surgical techniques in treating basal ganglia hematoma caused by hypertension. Methods Lesions were located with CT scans, incisions and approaches were designed for keyhole operations. Hematoma was removed under the surgical microscope and then the ruptured arteries were coagulated. Results13 cases were followed up for 4-12 months after operation, 7 were good recovery, 4 were moderate disability and 2 were dead. Conclusion Keyhole technique used to remove hematoma under surgical microscope is effective in treating basal ganglia hematoma,which helps improve the life quality of the patients and decrease complations.

关 键 词：治疗 高血压脑壳核出血 锁孔 显微手术 脑出血 

分 类 号：R651.11[医药卫生—外科学]