摘要
目的探讨高血压基底节区脑出血(HBGH)新的手术治疗方法和疗效。方法60例HBGB患者中,30例经超早期翼点小切口经侧裂-岛叶入路显微手术清除血肿(侧裂组),另30例经常规骨瓣开颅、皮质造瘘口直视下手术清除血肿(皮质组)。结果侧裂组近期和远期疗效均明显优于皮质组(P<0.05)。结论超早期翼点小切口经侧裂-岛叶入路显微手术治疗HBGH创伤小、疗效佳、预后好。
Objective To explore a new surgical method to treat hypertensive basal ganglia hemorrhage（HBGH） and its curative effect on HBGH. Methods Of 60 patients with HBGB, 30 （lateral fissure group） underwent super early microsurgery through pterional lateral fissure-insula keyhole approach for hematomas, and 30 （transcortical group） underwent traditional normal bone flap transcortical craniotomy for the hematomas. Results The short and long term curative effects in the lateral fissure group were significantly better than those in the transcortical group （P〈0.05）. Conclusion The curative effect of super early microsurgery through pterional lateral fissure-insula keyhole approach, which produces only minimal trauma, on HBGH is good.
出处
《中国临床神经外科杂志》
2009年第7期412-414,共3页
Chinese Journal of Clinical Neurosurgery
基金
广西钦州市科学研究与技术开发计划项项目(20062703)
关键词
脑出血
基底节区
超早期
小翼点
侧裂入路
显微手术
Hypertensive cerebral hemorrhage
Basal ganglia
Lateral fissure approach
Pterional approach
Keyhole craniotomy
