临床神经外科杂志2019，Vol.16Issue(6)：497-499,506,4.DOI:10.3969/j.issn.1672-7770.2019.06.008
经颞下岩前入路手术治疗高血压性脑干出血
Surgical treatment of hypertensive brainstem hemorrhage via infratemporal-prepetrosal approach
许志剑 1徐虎 1余丹枫 1杨帆 1周格知1
作者信息
- 1. 321000 金华,金华市中心医院神经外科
- 折叠
摘要
Abstract
Objective To investigate the feasibility and efficacy of infratemporal-prepetrosal approach in the treatment of hypertensive brainstem hemorrhage.Methods The clinical data of 26 patients with hypertensive brainstem hemorrhage which were treated via infratemporal-prepetrosal approach were analyzed retrospectively.Results The hematomas in all patients were successfully removed, 11 cases were totally removed , 15 were sub-totally removed.The patients were followed up for 3 months.There were 5 patients died after the operation and the mortality rate was 19.23%. The patients were evaluated by Glasgow outcome scale ( GOS) and the results showed grade 5 in 1 case, grade 4 in 7, grade 3 in 8 and grade 2 in 5.The rate of GOS≥4 was 30.8%(8／26 ). Conclusions For patients with surgical indications of the hypertensive brainstem hemorrhage , the surgical intervention should be taken as soon as possible.The infratemporal-prepetrosal approach is an ideal, safe and feasible surgical plan.关键词
高血压/脑干出血/颞下岩骨前入路/显微手术Key words
hypertension/brainstem hemorrhage/infratemporal-prepetrosal approach/microsurgery分类
医药卫生引用本文复制引用
许志剑,徐虎,余丹枫,杨帆,周格知..经颞下岩前入路手术治疗高血压性脑干出血[J].临床神经外科杂志,2019,16(6):497-499,506,4.
