超早期小骨窗经侧裂入路显微手术对高血压基底核区脑出血患者的预后研究

The Prognosis Research of Super-early Stage Microsurgery Through Lateral Fissure Approach for Microsurgical Operation on the Patients with Hypertensive Basal Ganglia Hemorrhage

目的探讨超早期小骨窗经侧裂入路显微手术治疗高血压基底核区脑出血的预后。方法将58例具备手术指征的超早期基底核区脑出血患者(发病时间<4h)随机分为两组。对照组采用常规骨瓣开颅;试验组采用小骨窗经侧裂入路开颅,开颅后均在显微镜下解剖侧裂池、切开岛叶皮质、清除血肿。术后随访3个月,对其预后情况进行对比。结果试验组预后优于对照组,差别有统计学意义(P<0.05)。结论小骨窗经侧裂入路术式对超早期高血压基底核区脑出血具有手术路径短、创伤小的优点,预后好,可更好地恢复神经功能。

Objective To evaluate the prognosis of microsurgery through small skull window by transsylvian fissure approach on the treatment of super - early stage hypertensive intracerebral hemorrhage. Methods 58 cases with operation very early in patients with basal ganglia hemorrhage syndrome （time of onset 〈4h） were randomly divided into two groups. The control group with routine craniectomy; test group was treated with microsurgery through lateral fissure approach craniotomy craniotomy were, under the microscope anatomy of the lateral fissure cistern, open the insular cortex, clearance of hematoma. Patients were followed up for 3 months, compared to its prognosis. Results The prognosis of test group than the control group, the difference was statistically significant （P 〈 0. 05 ）. Conclusion Microsurgery through lateral fissure approach surgery on super early hypertensive basal ganglia hemorrhage with operation path is short, the advantages of small trauma, prognosis is good, but better recovery of nerve function.