经翼点侧裂入路治疗高血压基底节区出血67例手术及诊治体会

Experience in Microsurgical Operative Treatment of Hypertensive Basal Ganglia Hemorrhage through Pterion Approach

目的探讨显微镜下翼点侧裂入路小骨窗治疗基底节区脑出血的手术方法。方法回顾性分析我院2005年6月至2010年6月的67例高血压脑出血患者的临床表现、手术及治疗情况与预后的关系。结果显微镜下经侧裂翼点入路显露基底节区血肿,手术效果满意;67例手术患者,术后1个月按GOS评价:恢复良好34例;中重残23例;植物生存4例;死亡6例。结论该手术方式手术创伤较小,术中显露满意,可良好保护脑组织,减少患者的伤残,促进患者的功能恢复。

Objective To study the surgical techniques with microsurgical operation by small bone flap craniotomy through lateral fissure approach,and curative effect in patients with hypertensive basal ganglia hemorrhage.Methods From June 2005 to June 2010,67 patients of hypertensive basal ganglia hemorrhage underwent the surgical procedure,which clinical manifestations therapeutic effects and prognosis was analyzed retrospectively.Summarized.Results All patients revelation were satisfaction during operation.,and 1 months after operation,which prognosis was assessed by GOS,and showed as follows：34 were recovered well,23 moderately or severely disabled,4 persistent vegetative states,and 3 died.Conclusion The techniques and methods of sufficient exposure,less surgery trauma,and brain function recover are advantages of the instrument.