岛叶入路显微手术治疗高血压性基底节区脑出血的临床疗效.docVIP

回顾性分析35例经侧裂-岛叶入路显微手术治疗高血压性基底节区脑出血的临床疗效 杜战峰 (陕西省铜川市人民医院神经外科 陕西铜川 727000) 【摘要】目的：探讨经侧裂-岛叶入路显微手术治疗高血压性基底节区脑出血的临床疗效。方法：选取2011年1月至2014年6月本科采用经侧裂-岛叶入路显微手术治疗基底节区高血压性脑出血患者作为观察组（n = 35），随机选取同期采用常规大骨瓣开颅血肿清除术的基底节区高血压性脑出血患者作为对照组（n = 35）。比较两组患者手术时间、血肿清除率、术中出血量、术后不良事件发生率、意识恢复时间和术后生存状态。结果：与对照组相比，观察组在术中平均出血量、平均手术时间、术后意识恢复时间及平均血肿清除率均有显著性差异（P 0.05）；术后6个月对两组患者进行随访，观察组患者生活状态优良率显著高于对照组（P 0.05）。结论：经侧裂-岛叶入路显微手术治疗高血压性基底节区脑出血是安全可行的，并且术后患者恢复理想，值得在临床中推广应用。 【关键词】 高血压；基底节区；脑出血；显微手术；侧裂-岛叶入路 Retrospective Analysis Microsurgical Operation through Lateral Fissure-insula Lobe Approach in Treatment of 35 Cases of Hypertensive Cerebral Hemorrhage in Basal Ganglia Du Zhanfeng (Shaanxi?Tongchuan Peoples Hospital?Department of Neurosurgery, Shaanxi?Tongchuan, 727000) 【Abstract】 Objective To explore clinical effect of microsurgical operation through lateral fissure-insula lobe approach in treatment of hypertensive cerebral hemorrhage in basal ganglia. Methods Microsurgical operation through lateral fissure-insula lobe approach in treatment of 35 cases with hypertensive cerebral hemorrhage in basal ganglia from January 2011 to June 2014 in our hospital were analyzed retrospectively as observation group, and in control large craniotomy hematoma approach in treatment of 35 cases at the same period. The operative time, hematoma clearance rate, intraoperative blood loss, complication, time of recovery conscionsness and living state were compared between the two groups. Result Compared with control group, the intraoperative blood loss, operative time, time of recovery conscionsness and hematoma clearance rate in observation group showed significant difference (P 0.05). Followed up after operation for 6 months, the excellent and good of observation group significantly higher than that of control group(P 0.05). Conclusion Microsurgical operation through lateral fissure-insula lobe approach is an safe and feasible procedure for the patients with hypertensive cerebral hemorrhage in basal ganglia, and it can