临床神经外科杂志2011,Vol.8Issue(3):136-138,3.DOI:10.3969/j.issn.1672-7770.2011.03.008
水分离技术在经侧裂岛叶手术治疗高血压壳核脑出血的应用
Application of water jet dissection technique in surgical treatment of hypertensive putaminal hemorrhage through transsylvian transinular approach
何升学 1张玉海 1朱侗明 1闫华 1林华强 1章文斌 1张岩松 1张锐1
作者信息
- 1. 210029,南京医科大学附属脑科医院神经外科
- 折叠
摘要
Abstract
Objective To investigate the effect of water jet dissection technique in surgical treatment of hypertensive putamina hemorrhage through transsylvian transinsular approach. Methods 11 patients with hypertensive putamina hemorrhage from January 2010 to November 2010 underwent the resection of hemorrhage through transsylvian transinsular approach by water jet dissection technique. Results The postoperative CT within 24 h showed that hematoma was removed totally in 9 cases and over 95% in 2. Of 11 patients who were followed up for 3 months,2 belonged in grade Ⅰ ,6 in grade Ⅱ and 3 in grade Ⅲ according to ADL. Conclusion The water jet dissection technique can be applied very simply and safely , which is very helpful for opening the sylvian fissure and removing hematoma on hypertensive putaminal hemorrhage through transsylvian transinsular approach with minimal injury of brain tissue and total removement of hematoma.关键词
水分离技术/高血压/壳核脑出血/经侧裂岛叶入路Key words
water jet dissection technique/ hypertensive/ putaminal hemorrhage/ transslyvian transinular approach分类
医药卫生引用本文复制引用
何升学,张玉海,朱侗明,闫华,林华强,章文斌,张岩松,张锐..水分离技术在经侧裂岛叶手术治疗高血压壳核脑出血的应用[J].临床神经外科杂志,2011,8(3):136-138,3.