摘要
目的探讨超早期小骨窗经外侧裂岛叶入路显微手术治疗高血压性基底节脑出血的疗效。方法回顾性分析47例高血压性基底节脑出血6 h内超早期手术,采用小骨窗开颅,显微镜下经外侧裂-岛叶入路,清除血肿。结果血肿完全清除36例,血肿清除>95%11例。术后按日常生活能力分级法随访3～6个月,Ⅰ级9例,Ⅱ级14例,Ⅲ级15例,Ⅳ级6例,Ⅴ级3例。结论超早期小骨窗经外侧裂-岛叶入路显微手术治疗高血压性基底节脑出血是一种创伤小的治疗方法。
Objective To explore the effects of microsurgical treatment via small bone flap craniotomy through lateral fissure and insula lobe approach for hypertensive basal ganglia hemorhage during ultra-early period. Methods The clinical data of 47 patients with hypertensive basal ganglia hemorrhage performed microsurgical treatment within 6 hours by small bone flap craniotomy through lateral fissure and insular lobe approach were analyzed retrospectively. Results Total evacuation were in 36 cases and over 95% in 11. The follow-up from 3 to 6 months assessment according to ADL showed 9 belonged in grade I ,14 in grade II ,15 in grade III ,6 in grade IV and 3 in grade V. Conclusion Ultra-early microsurgical treatment via small bone flap craniotomy through lateral fissure approach for hypertensive basal ganglia hemorrhage had advantages of minimal invasion.
出处
《临床神经外科杂志》
CAS
2010年第4期207-208,共2页
Journal of Clinical Neurosurgery
关键词
脑出血
基底节
外侧裂-岛叶入路
显微手术
intracerebral hemorhage
basal ganglion
lateral fissure and insula lobe approach
microsurgery
