经胼胝体入路治疗丘脑出血的临床观察

The clinical observation of the via transcallosal approach apply for thalamic hemorrhage

目的 探讨经胼胝体入路显微外科技术在丘脑出血治疗中的应用价值.方法 回顾2010年1月至2013年1月期间应用经胼胝体入路手术治疗的丘脑出血患者25例的临床资料,评价患者手术效果及预后转归.结果 本组手术病例中术后无颅内感染及再出血患者,术后3个月存活20例.Barthel指数评分结果：BI ＞60分（生活基本自理）：5例;40＜ BI＜ 60分（中度功能障碍）：9例;40＜ BI＜ 20分（重度功能障碍）4例;BI ＜20分（完全残疾）：2例.结论 经胼胝体入路显微外科技术可有效清除丘脑血肿,术后并发症少,是一种可行的治疗丘脑出血的临床方法.

Objective Explore the application of microsurgical technique via transcallosal approach in the treatment of thalamic hemorrhage.Methods the clinical data of 25 patients with thalamic hemorrhage who were treated by haematoma evacuation by microscope via transcallosal approach in neurosurgery of our department from January 2010 to January 2013,the operation result and prognosis were collected.Results There is no patient suffered from intracranial infection and rebleeding after operation.20 patients survived after 3 months.The Barthel Index evaluation：BI ＞ 60（independent living） in 5 cases; 40 ＜ BI ＜ 60 （severe dysfunction） in 9 cases; 40 ＜ BI ＜ 20 （Moderate dysfunction） in 4 cases ; BI ＜ 20 （total disability）in 2 cases.Conclusion The microsurgical technique via transcallosal approach can remove thalamic hemorrhage effectively,and cause low postoperative complications.It is a feasible surgical technique for treatment of thalamic hemorrhage.