超早期小骨窗经外侧裂-岛叶入路手术治疗基底节区高血压
脑出血
胡斌;孙春明;周幽心
【期刊名称】《江苏医药》 【年(卷),期】2012(038)010
【摘要】Objective To study the outcomes of treating hypertensive intracerebral hemorrhage (HICH) of basal ganglia with ultra-early small bone window via sylvian fissure-insula approach. Methods The clinical data of 48 patients with HICH treated by ultra-early small bone window through sylvian fissure-insula approach were analyzed retrospectively. Results CT examinations within 24 hours after operation showed that the hematomas were totally clearned out in 43 patients (90%),and hematomas were mostly clearned out in 5 patients(10%). Of 45 patients followed-up for 3 months to 1 year, 8 cases were assigned in grade I ,13 in grade Ⅱ , 15 in grade Ⅲ, 6 in grade Ⅳ and 3 in grade V according to activities of daily living (ADD. Three cases died. Conclusion Ultra-early small bone window through sylvian fissure-insula approach for surgical treatment of basal ganglia of HICH can effectively clearn out the hematoma with less damage of brain tissues and blood vessels,and promote neurological recovery.%目的 探讨超早期小骨窗经外侧裂-岛叶入路手术治疗基底节区高血压脑出血的疗效.方法 回顾性分析48例经超早期小骨窗外侧裂-岛叶入路手术治疗的基底节区高血压脑出血患者临床资料.结果 48例中,