中国医药科学Issue(10)：153-155,184,4.
经侧裂-岛叶入路手术治疗基底节区高血压脑出血的疗效观察
Operation path through lateral fissure-insula lobe in treating of hypertensive intracerebral hemorrhage in basal ganglia
张杰 1刘成辉2
作者信息
- 1. 广东省佛山市南海区第七人民医院神经外科，广东佛山 528247
- 2. 广东省佛山市南海区第一人民医院神经外科，广东佛山 528247
- 折叠
摘要
Abstract
Objective To investigate the curative effect and safety of the transsylvian insular approach, microsurgery operation on hypertensive intracerebral hemorrhage(HICH). Methods 72 cases with HICH were randomly divided into observation group(n=36) and control group(n=36). Observation group received the operation through lateral fissure-insula lobe under microscope, and control group received the operation through middle temporal lobe under microscope. The curative effect and the incidence of complications of two groups were compared. Results The operation time and automatic opening eye time after operation of observation group were shorter than those of control group(all P < 0.05); After seven days, the GCS score of observation group was higher than that of control group(P < 0.01); The incidence of postoperative complications in observation group was 5.6% , it was significantly lower than that of control group 22.2% (P < 0.05). The excellent and good rate of of GOS score in observation group after 3 months, 12 months were significantly higher than those of control group (P < 0.05). Conclusion Through lateral fissure-insula lobe microsurgical operation for treatment of basal ganglia hemorrhage(30 ~ 60mL) is a short operation time, less injury, quick recovery, high safety, good prognosis treatment. It has the broad prospects of clinical application.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
Hypertensive intracerebral hemorrhage/Basal ganglia/Lateral fissure and insula approach/Microsurgery分类
医药卫生引用本文复制引用
张杰,刘成辉..经侧裂-岛叶入路手术治疗基底节区高血压脑出血的疗效观察[J].中国医药科学,2015,(10):153-155,184,4.
