四川医学2011，Vol.32Issue(6)：830-832,3.
早期经翼点外侧裂-岛叶入路显微手术治疗高血压基底节区脑出血的临床研究
Early microsurgery through Pterional lateral fissure-Insula approach hi the treatment of hypertensive hemorrhage of basal ganglia region
谢轩贵 1张洪良 1蔡德成 1李鹏 1周学斌 1蔡毅骁1
作者信息
- 1. 成都市第一人民医院神经外科,四川,成都,610041
- 折叠
摘要
Abstract
Objective To explore the surgical method and therapeutic effect of early microneurosurgery via pterional transsylvian fissure-insular approach in the treatment of hypertensive hemorrhage of basal ganglia region. Methods From January 2003 to December 2009,26 patients with hypertensive hemorrhage of basal ganglia region(HBGB) underwent early microsurgery via pterional lateral fissure-insula approach for the hematoma above 30ml proved by CT scan. Results The extent of hematoma evacuation was above 90％. Mortality was 11.5％ (3/26). After 6 months follow up, the patients were evaluated by activities of daily living(ADL) , Grade Ⅰ was found in 0 case, Ⅱ in 6 cases, Ⅲ in 9 cases, Ⅳ in 6 cases, Ⅴ in 2 cases. Conclusion Early microneurosurgical treatment via transsylvian fissure-insular approach for cerebral hematoma in basal ganglia region is a kind of minimally invasive method with less damage, better effects and more favorable prognosis.关键词
高血压/脑出血/基底节区/经侧裂-岛叶入路/显微手术Key words
hypertension/ cerebral hemorrhage/ basal ganglia region/ transsylvian fissure-insular approach/ microneurosurgery分类
医药卫生引用本文复制引用
谢轩贵,张洪良,蔡德成,李鹏,周学斌,蔡毅骁..早期经翼点外侧裂-岛叶入路显微手术治疗高血压基底节区脑出血的临床研究[J].四川医学,2011,32(6):830-832,3.
