【摘要】 目的探讨基底节区高血压脑出血外科手术方法和效果。方法回顾性分析采用改良翼点颞中回入路治疗35例基底节区高血压脑出血病例。结果术后24h内复查头颅CT明确血肿清除效果,30例血肿清除>90%,4例血肿清除<70%,1例再出血。术后存活34例,死亡1例,为再出血。存活者随访6个月,根据GOS评分:恢复良好18例,中残11例,重残3例,植物生存1例,死亡1例。结论改良翼点颞中回入路治疗基底节区高血压脑出血效果令人满意,具有止血彻底,血肿清除率高,神经功能恢复好等优点。更多还原

【Abstract】 Objective To invedtigate the surgical procedures and effects of treatment of hypertensive basal ganglia hemorrhage.Methods 35 paitients with hypertensive basal ganglia hemorrhage who were underwent the treatment through modified transpterional middle temporal gyrus approach were retrospectively analysed.Results The results of cranium CT scan within 24h after operation showed that the hematomas of 30 cases were renoved more than 90%, while 4 cases less than 70%, and 1 case was rehaemorrhagia. 34 paitients survived and 1 paitient died of rehaemorrhagia after operation. The survivors were evluated according to Glasgow coma score(GOS) follow-up for 6 months after operatinon: 18 cases of good recovery, 11 cases of moderate disablement, 3 cases evere disablement, 1 cases of persistent vegetative state, and 1 cases of death.Conclusion The clinical effect of the operation on the hypertensive basal ganglia hematonas through modified transpterional middle temporal gyrus approach is satisfactory, and it is characterized by thorough hemostasis after the operation, high hematoma removal rate, good nervous function recovery and so on.更多还原