经岛叶显微手术治疗高血压脑出血54例分析

Transinsular microsurgery for treatment of hypertensive cerebral hemorrhage: Report of 54 cases

摘要: 目的: 总结经岛叶高血压脑出血显微外科手术治疗的经验。方法: 54例高血压脑出血患者均行显微手术治疗。结果: 54例术后按日常生活活动(ADL)评定预后:ADL Ⅰ级13例,ADL Ⅱ级20例,ADL Ⅲ级10例,ADL Ⅳ级5例,ADL Ⅴ级1例;死亡5例。结论: 高血压脑出血早期显微手术治疗,并术后进行相关治疗,可改善患者的生存质量。

Abstract: Objective: To sum up the experience of treating hypertensive cerebral hemorrhage by transinsular microsurgery.Methods: The clinical data of 54 cases of hypertensive cerebral hemorrhage treated by microsurgery in our department from 2001 to 2004 were reviewed.Results: The patients were evaluated by activities of daily living(ADL) after the operation.ADL Ⅰ was found in 13 cases,ADL Ⅱ in 20 cases,ADL Ⅲ in 10 cases,ADL Ⅳ in 5 cases and ADL Ⅴin 1 case.Five cases died.Conclusions: Application of transinsular microsurgery at the early stage of hypertensive cerebral hemorrhage and relevant therapy after the operation can greatly improve the survival quality of the patients.