【摘要】 目的探讨小骨瓣经侧裂岛叶入路显微手术治疗基底核区脑出血的临床效果。方法回顾性分析我院2009年12月至2011年12月采用小骨瓣经侧裂岛叶显微手术治疗36例基底核区脑出血患者的临床资料。结果血肿清除率100%11例,血肿清除80%以上25例,无死亡病例,骨瓣复位31例,随访3个月至2年,按日常生活能力分级,Ⅰ级5例,Ⅱ级17例,Ⅲ级11例,Ⅳ级3例。结论小骨瓣经侧裂岛叶入路治疗高血压基底核区脑出血清除血肿、创伤小、并发症少,临床效果可靠,是治疗高血压基底核区脑出血的重要方法之一。更多还原

【Abstract】 Objective To analyze the curative effects of hypertensive basal ganglia regions hematomas by keyhole(small-bone-window)through transsylvian-insular approach.Methods The clinical data of 36 patients with basal ganglia regions hematoma treated by keyhole(small-bone-window)through transsylvian-insular approach from December 2009 to December 2011 were analyzed retrospectively.Results CT 24 hours after operation showed that of 36 patients,11 realized 100% removal of the hematoma,25 over 80%,no patients died of surgery,31 patients realized bone flap reposition.The following up was done for 3 months to 2 years,the activity daily living(ADL)showed that 5 were gradeⅠ,17 gradeⅡ,11 grade Ⅲ,3 grade Ⅳ.Conclusion Keyhole(small-bone-window)through transsylvian-insular approach,with the merits of minimal invasiveness,effective evacuation of hematomas,fewer postoperative complications and good curative effect,is one of the important methods to treat hypertensive basal ganglia regions hematomas.更多还原