超早期经外侧裂入路治疗高血压基底节区脑出血的疗效

Outcomes of surgery for hypertensive basal ganglia hemorrhage in ultra early stage via transsylvian approach

目的探讨高血压基底节区脑出血的手术治疗效果。方法回顾性分析经外侧裂入路手术治疗高血压基底节区脑出血26例患者的临床资料。结果血肿清除率>90%者23例,80%-90%者3例。术后存活25例;存活病例随访6个月,日常生活能力(ADL)评分:Ⅰ级2例,Ⅱ级11例,Ⅲ级8例,Ⅳ级3例,Ⅴ级1例;死亡1例。结论经外侧裂入路治疗高血压基底节区脑出血具有手术时间短、对脑组织损伤小和清除血肿彻底等优点。

Objective To explore the outcomes of surgery for hypertensive basal ganglia hemorrhage（HBGH） in ultra early stage via transsylvian approach. Methods Data of 26 cases with HIgH underwent surgery via transsylvian approach were retrospectively analyzed. Results CT measurement showed that hematoma clearance rate of 〉90% was found in 23 cases, that of 80%-90% in 3 cases. Twenty-five patients survived after operation, who were followed up for 6 months. Of 25 patients survived,2 cases had the ability of daily live（ADL） score grade I , 11 cases had ADL grade 11,8 cases had ADL grade I]1,3 case had ADL grade IV and 1 case had ADL gradeV. One case died after operation. Conclusion The surgery for HBGH in ultra early stage via transsylvian approach has the advantages of shorter operation time, less cerebral tissues injury and thorough removal of hematoma.