中国实用神经疾病杂志Issue(6)：5-6,2.
改良大骨瓣减压、显微侧裂入路治疗伴脑疝的高血压基底节区脑出血
Modified large decompressive craniectomy and microneurosurgery through transsylvian treating hypertensive basal ganglia hemorrhage complicated cerebral herniation
摘要
Abstract
Objective To evaluate the efficacy of modified large decompressive craniectomy and microneurosurgery through transsylvian on hypertensive basal ganglia hemorrhage complicated with cerebral herniation.Methods The clinical data of 30 patients with hypertensive basal ganglia hemorrhage complicated cerebral herniation were analyzed retrospectively.The modified large decompressive craniectomy was performed in all the patients.The hematomas were removed by microneurosurgery through transsylvian approach in all the patients. Postoperative treatment in accordance with the Guide to clinical treatment of hyperten-sive cerebral hemorrhage. Results With 6 months follow-up after the operation ,the clinical curative effect was evaluated by activities of daily living(ADL).The effect showed that 3 patients were ADLⅠ ,14 patients were ADL Ⅱ ,9 patients were ADLⅢ ,2 patients were ADL Ⅳ ,1 patient was ADL Ⅴ ,1 patient died. Conclusion The modified large decompressive craniectomy may have good efficacy on hypertensive basal ganglia hemorrhage complicated cerebral herniation ;and the skilful microsurgical skill and normative with comprehensive therapeutics will improve the prognosis.关键词
减压术/侧裂入路/基底节区脑出血/脑疝/显微神经外科Key words
Decompression/Transsylvian approach/Basal ganglia hemorrhage/Cerebral herniation/Microneurosurgery分类
医药卫生引用本文复制引用
黄汉文,魏建功,宋同均,王士强,刘道斌,张琦辉..改良大骨瓣减压、显微侧裂入路治疗伴脑疝的高血压基底节区脑出血[J].中国实用神经疾病杂志,2014,(6):5-6,2.基金项目
深圳市宝安区科技计划社会公益项目 （）
