解岗, 李永奇. 显微镜下小骨窗治疗基底核区高血压脑出血[J]. 蚌埠医科大学学报, 2013, 37(4): 431-433.
    引用本文: 解岗, 李永奇. 显微镜下小骨窗治疗基底核区高血压脑出血[J]. 蚌埠医科大学学报, 2013, 37(4): 431-433.
    XIE Gang, LI Yong-qi. Microsurgical treatment of hypertension intracerebral hemorrhage in the basal ganglia region with small bone window[J]. Journal of Bengbu Medical University, 2013, 37(4): 431-433.
    Citation: XIE Gang, LI Yong-qi. Microsurgical treatment of hypertension intracerebral hemorrhage in the basal ganglia region with small bone window[J]. Journal of Bengbu Medical University, 2013, 37(4): 431-433.

    显微镜下小骨窗治疗基底核区高血压脑出血

    Microsurgical treatment of hypertension intracerebral hemorrhage in the basal ganglia region with small bone window

    • 摘要: 目的:探讨显微镜下小骨窗手术治疗基底核区高血压脑出血的策略和疗效。方法:15例患者分别采用经侧裂岛叶(8例)和经颞上回皮层小骨窗(7例)显微手术,术后常规应用脱水药物。结果:15例均无死亡。术后日常生活能力Ⅰ级3例,Ⅱ级7例,Ⅲ级3例,Ⅳ级1例,Ⅴ级1例。结论:根据血肿的量和血肿的部位,分别采用经侧裂岛叶和经颞上回皮层小骨窗入路显微手术,是治疗基底核区高血压脑出血的一种有效方法,符合微创理念。

       

      Abstract: Objective:To explore the strategy and efficacy of microsurgerical treatment of hypertensive intracerebral hemorrhage of the basal ganglia region with small bone window.Methods:The clinical data of 15 patients with hypertensive intracerebral hemorrhage of the basal ganglia region were treated with the microsurgery of small bone window through transsylvian transinsular and superior temporal lobe gyrus were retrospectively analyzed.Eight cases and 7 cases were operated through transsylvian transinsular and the cortex of superior temporal lobe gyrus,respectively.Results:No deaths occurred.According to the actirvties of daily living test,grade Ⅰ,Ⅱ,Ⅲ,Ⅳand Ⅴwere found in 3,7,3,1 and 1 patients,respectively.Conclusions:According to the amount and site of hematoma,microsurgical treatment of hypertensive intracerebral hemorrhage in basal ganglia region with small bone window via transsylvian transinsular and superior temporal lobe gyrus is an effective approach,which is consistent with the concept minimal invasion.

       

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