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经侧裂入路显微手术治疗基底节区脑出血优、劣势的分析

丁正斌 周向阳 李益民 陈江宏 曾志青

中南医学科学杂志Issue(6):655-657,3.
中南医学科学杂志Issue(6):655-657,3.DOI:10.15972/j.cnki.43-1509/r.2015.06.014

经侧裂入路显微手术治疗基底节区脑出血优、劣势的分析

Analysis of Advantages and Disadvantages of Treatment of the Cerebral Hemorrhage in Basal Ganglia Patients with Microneurosurgery via Lateral Fissure

丁正斌 1周向阳 1李益民 1陈江宏 1曾志青1

作者信息

  • 1. 南华大学附属第一医院神经外科,湖南 衡阳421001
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摘要

Abstract

Objective To investigate the advantages and disadvantages of the lateral fissure approach and conven-tional approach ,and to choose the right approach to treat the cerebral hemorrhage in basal ganglia patients. Methods 200 patients with cerebral hemorrhage in the basal ganglia area were retrospectively analyzed,two approach of operation were used in the patients who got the cerebral hemorrhage in the basal ganglia region ( operation via lateral fissure approach or conventional approach) ,respectively. Results Following up half year or more after operation,among patients with con-ventional approach,85 can take care of themselves,8 need to be cared for,3 were dead,4 gave up treatment due to all kinds of reasons;among patients with microneurosurgery,87 can take care of themselves,9 need to be cared for,2 were dead,2 gave up treating. Conclusion Two surgical approaches have their advantages and disadvantages,respectively. The select-ed surgical approach was determined by the preoperative condition and prognosis,rather than blindly choosing microsurgery via a lateral fissure approach.

关键词

基底节脑区/脑出血/外侧裂入路/显微手术

Key words

cerebral hemorrhage/basal ganglia/microneurosurgery/lateral fissure approach

分类

医药卫生

引用本文复制引用

丁正斌,周向阳,李益民,陈江宏,曾志青..经侧裂入路显微手术治疗基底节区脑出血优、劣势的分析[J].中南医学科学杂志,2015,(6):655-657,3.

中南医学科学杂志

OACSTPCD

2095-1116

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