摘要
目的探讨改良切口小骨窗经外侧裂后部入路超早期显微手术治疗壳核出血的临床效果。方法采用改良切口小骨窗经外侧裂后部入路清除壳核出血患者41例,采用大骨瓣开颅清除血肿并去骨瓣减压患者19例,对两组患者的临床疗效进行比较。结果两组手术效果、近期疗效及远期疗效等均无显著性差异,但小骨窗组手术时间明显缩短(P<0.01)。结论改良切口小骨窗经外侧裂后部入路清除脑内血肿方便可行,同样能够达到大骨窗手术组的效果,且有创伤小、手术时间短等优点。
Objective To study the clinical effect of craniotomy with improved incision small bone flap through posterior part lateral fissure approach in the ultra earlier micro-neurosurgery for the treatment of intracerebral putamen hemorrhage.Methods All of 41 patients with intracerebral putamen hemorrhage were subjected to micro-neurosurgical treatment with improved incision small bone flap through posterior part lateral fissure approach.19 patients were treated with large bone flap craniotomy and then decompression by moving large bone flap.The clinical effects were compared in the two groups.Results There was no remarkable difference in operative effect,short-term and long-term therapeutic effect between the two groups,but the operative time in the small bone flap craniotomy was shortened significantly (P<0.01).Conclusion The craniotomy with improved incision small bone flap through posterior part lateral fissure approach has the same effect with the large bone flap craniotomy,and is minimally invasive and taking a shorter time.
出处
《中国综合临床》
北大核心
2005年第8期723-725,共3页
Clinical Medicine of China
基金
北京市朝阳区科技攻关项目(SF0503)
关键词
脑出血
高血压
小骨窗
外侧裂
微创手术
Cerebral hemorrhage
Hypertension
Small bone flap
Lateral fissure
Minimally invasive
