摘要
目的：探讨经侧裂-岛叶入路手术治疗基底节区高血压脑出血的疗效及安全性。方法将72例患者根据治疗方法不同分为经侧裂-岛叶入路显微手术（观察组）和经颞叶回入路显微手术（对照组）各36例，观察两组治疗效果和并发症发生率。结果观察组手术时间、术后自动睁眼时间比对照组明显缩短（P ＜0.05）；观察组术后7d GCS 评分明显优于对照组（P ＜0.01）；观察组术后并发症发生率5.6％比对照组的22.2％明显降低（P ＜0.05）；观察组术后3、12个月 GOS 评分的优良率比对照组明显升高（P ＜0.05）。结论对于中等量（30～60mL）的基底节区出血患者，采用经侧裂-岛叶入路显微手术，是一种手术时间短、损伤小、恢复快、安全性高、预后好的治疗方法，具有广阔的临床应用前景。
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.
出处
《中国医药科学》
2015年第10期153-155,184,共4页
China Medicine And Pharmacy
关键词
高血压脑出血
基底节区
经侧裂-岛叶入路
显微手术
Hypertensive intracerebral hemorrhage
Basal ganglia
Lateral fissure and insula approach
Microsurgery
