Micro-surgery by the side of ultra-early treatment of hypertensive putamen hemorrhage fissure.docVIP

 PAGE \* MERGEFORMAT 13 Micro-surgery by the side of ultra-early treatment of hypertensive putamen hemorrhage fissure Author: Tian mechanics, Wang Gang, Zhang Hongbing, Wang Hao [Abstract] Objective To evaluate the lateral fissure approach microsurgical treatment of hypertensive cerebral hemorrhage putamen results. Methods According to the CT shows the different amount of bleeding, the small window of bone surgery in 23 cases, craniotomy, 7 cases were within the ultra-early onset 7h lateral fissure approach taken by the micro-surgical methods to remove the hematoma putamen area. Results 24 ~ 28h reviewed cranial CT showed hematoma amp;quot;90% of those 17 cases,amp;quot; 60% of the 8 cases. 6 to 12 months follow-up ADL Rating: Survival 25 cases were followed up for a good recovery in 11 cases, accounting for 36.7%; the disabled, who have eight cases, accounting for 26.7%; severely handicapped in 7 cases, accounting for 23.3%; plant to survive one cases, accounting for 3.3%; 3 patients died, the mortality rate 10.0%. Conclusion The lateral fissure approach microsurgery ensure the protection of blood vessels, nerves and brain tissue to reduce nerve function loss, the treatment of hypertensive cerebral hemorrhage putamen effective way, this group amp;lt;7h operative mortality of 10.0%, low - coverage at home and abroad. [Keywords:] cerebral hemorrhage; ultra-early; by the lateral fissure into the road; microsurgery Of modern neurosurgery in hypertensive cerebral hemorrhage in basal ganglia is no longer just content with saving the lives of patients and how to improve the postoperative recovery of neurological function (ADL) quality is an important issue. January 2002 ~ January 2005, the author were taken to craniotomy or a small bone window operation, through the lateral fissure approach microsurgical treatment of hypertensive cerebral hemorrhage putamen of 30 cases and achieved better efficacy, these are as follows . A clinical data 1.1 General Info