经侧裂-岛叶入路显微手术治疗高血压基底节脑出血的临床疗效(附38例报告)

The Therapeutic Effect of Cerebral Hemorrhage in Basal Ganglia by Microsurgery Trans Sylvian Fissure-insular Approach(With 38 Cases of Medical)

目的:探讨经外侧裂-岛叶入路显微手术治疗高血压基底节区脑出血的手术方法和疗效。方法:对2009-10～2010-10间我科收治的38例高血压基底节脑出血采取经外侧裂-岛叶入路清除血肿的临床资料进行回顾性分析。结果:术后1 d复查头部CT,血肿清除≥90%26例,70%～89%10例,≥60%2例。术后随访6个月根据GOS评分,恢复良好24例(63.1%),中残8例(21.0%),重残4例(10.5%),植物生存1例(2.6%),死亡1例(2.6%)。结论:经外侧裂-岛叶入路显微手术治疗基底节区脑出血是一种损伤小、疗效好、预后理想的微创手术方法。

Objective ：To study the therapeutic effect for cerebral hemorrhage in basal ganglia by microsurgery trans sylvian fissure - insular approach. Methods： Retrospective analysis was performed in 38 cases with cerebral hematomas in basal ganglia region which were treated by microsurgery trans sylvian fissure - insular approach in our department from 2009. 10 to 2010. 10. Results：With 6 months follow - up study after surgery and according to Glasgow Outcome Score （GOS） ,the cases of good recovery（GR） , moderate disability（MD） , severe disability（ SD）, persistent vegetative state （PVS） and dead （D） were 24 cases （ 63.1% ） , 8 cases （ 21.0% ） , 4 cases （ 10. 5 % ） , 1 cases （ 2. 6% ） and 1 cases （2. 6% ） respectively. Conclusions：Microsurgical treatment trans sylvian fissure - insular approach for cerebral hematomas in basal ganglia region is a kind of minimally invasive method with less damage, better effects andmore favorable prognosxs.