临床神经外科杂志2017，Vol.14Issue(6)：460-462,3.DOI:10.3969/j.issn.1672-7770.2017.06.013
经外侧裂-岛叶入路显微手术结合颅内压监测治疗基底节区高血压脑出血
Microsurgery via lateral fissure insular approach combined with intracranial pressure monitoring in treating hypertensive cerebral hemorrhage in basal ganglia
摘要
Abstract
Objective To explore the effects of microsurgical treatment through lateral fissure and insular lobe approach and ICP monitoring for hypertensive basal ganglia hemorrhage.Methods The clinical data of 35 patients who received microsurgical treatment through lateral fissure approach for hypertensive basal ganglia hemorrhag were analyzed retrospectively.Results Of 35 patients,3 were dead and 32 were survival after the follow-up from 3 to 6 months,and according to the ADL classification,8 belonged in the grade I,11 in gradeⅡ,6 in the grade Ⅲ,4 in the grade Ⅳ and 3 in the grade Ⅴ.The ADL was good in 25 patients (71.4%).Conclusion The microsurgical treatment via lateral fissure insular approach combined with intracranial pressure monitoring in the treatment of hypertensive basal ganglia hemorrhage ( hematoma volume >30 ml ) is safe and effective,according to different patients to choose the appropriate operative opportunities and individualized accurate treatment,ensure the operation is safe and effective,can help the recovery of neural function in patients and improve the prognosis of patients.关键词
基底节区脑出血/显微手术/颅内压监测Key words
basal ganglia hemorrhage/microsurgery/intracranial pressure monitoring分类
医药卫生引用本文复制引用
李建,刘惠祥,沈鸟松,季东凯,孙晓峰..经外侧裂-岛叶入路显微手术结合颅内压监测治疗基底节区高血压脑出血[J].临床神经外科杂志,2017,14(6):460-462,3.基金项目
苏州市卫生局科技项目(LCZX201318) （LCZX201318）
