经侧裂-岛叶入路治疗高血压基底节区脑出血的疗效分析

Treatment of hypertensive basal ganglia hematomas through transsylvian transinsular approach

目的探讨高血压基底节区脑出血的手术治疗方法和效果。方法对经外侧裂-岛叶入路手术治疗的43例高血压基底节区脑出血患者的临床资料进行回顾性分析。结果术后存活38例,死亡5例。在存活的38例中,术后6个月根据GOS评分恢复良好11例,中残16例,重残10例,植物生存1例。结论经外侧裂-岛叶入路手术是治疗高血压基底节区脑出血较理想的方法,具有对脑组织损伤小、易发现出血点、神经功能恢复好等优点。

Objective To study the method and effect of mierosurgical treatment on patients with hypertensive basal ganglia hematomas though transsylvian transinsular approach. Methods Forty-three patients with hypertensive basal ganglia hematomas underwent treatment through transsyvian transinsular approach and the clinical data were retrospectively analysed. Results The 38 patients survived and 5 patients died after operation. The therapeutic effects of the survival were evaluated at 6 months after operation according to Glasgow outcome scale {GOS） categories：good recovery 11 eases, moderate disability 16 eases, severe disability 10 eases, persistent vegetative state 1 eases. Conclusion Surgery through transsylvian transinsular approach is an effective treatment for hypertensive bsaal ganglia hematomas,it is characterized by minimal cerebral tissues injury,easy finding point and good nervous function recovery.