经侧裂-岛叶入路显微手术治疗基底节区高血压脑出血

摘要

目的 探讨经侧裂-岛叶入路显微手术治疗基底节区高血压脑出血的疗效.方法 回顾性分析取2011-04 2016-01收治的经侧裂-岛叶入路手术治疗的38例基底节区高血压脑出血患者的病例资料并探讨疗效.结果 术后次日复查CT示血肿清除率达90％以上26例,75％～90％者12例,无再出血及死亡病例.结论 经侧裂-岛叶入路治疗基底节区高血压脑出血具有创伤较小、血肿清除较彻底、止血安全可靠、术后神经功能恢复好等特点.%Objective To study the therapeutic effects for cerebral hematomas in basal ganglia region by microneurosurgery via transsylvian fissure-insular approach.Methods Retrospective analysis was performed in 38 cases with cerebral hematomas in basal ganglia region which were treated by microsurgery via transsylvian fissure-insular approach from April 2011 to January 2016.Results 26 cases had over 90％ postoperative hematoma clearance rate (by using CT scan),12 cases were 75％ to 90％,no re-bleeding and death cases.Conclusion Microneurosurgical treatment via transsylvian fissure-insular approach for cerebral hematomas in basal ganglia region is less traumatic,has higher hematoma removal rate,is safe and reliable in hemostasis,can promote good recovery of neurologic function.