【摘要】 目的探讨显微镜下经外侧裂入路与经颞叶皮层入路治疗基底节区脑出血的治疗效果。方法回顾性分析显微手术治疗基底节区脑出血90例,其中经外侧裂入路治疗基底节区脑出血44例,经颞叶皮层入路治疗基底节区脑出血患者46例,分别为A组和B组,评价两组手术时间,血肿清除情况,再出血率及格拉斯哥预后分级(GOS评分)。结果 (1)两组手术时间、术中出血量无统计学差异(P>0.05);(2)术后2h、24h复查头颅CT,A组患者血肿残余量低于B组(P<0.05),两组再出血率无统计学差异;(3)术后随访6个月,按GOS预后评分,A组预后优于B组(P<0.05)。结论经外侧裂入路显微手术治疗基底节区脑出血具有独特优势,有效提高患者的生存质量及预后。更多还原

【Abstract】 Objective To explore the surgical outcomes of tanssylvian-insular approach and transtemporal approach for evacuation of basal ganglia hemorrhage under microscopes.Methods The clinical data of 90 patients of basal ganglia hemorrhage with surgical treatment were analyzed retrospectively,including 44 cases of tanssylvian-transinsular approach and 46 cases of transtemporal approach as group A and group B respectively.To ecaluate the operation time,hematoma removal,bleeding rate and Glasgow outcome classification(GOS score)between two groups.Results(1)There is no statistical difference in operational time and intraoperative blood loss between the two groups(P>0.05);(2)The CT scan after surgery in two hours and twentyfour hours showed residual amount hematoma in group A is lower than group B(P<0.01),with No statistical difference of rehemorrhage rate between two groups;(3)During following up period of 6 months after the surgery,the GOS was good recovery that group A was better than group B.Conclusion The surgery of tanssylvian-insular approach for evacuation of basal ganglia hemorrhage under microscopes has unique advantages which can improve the quality of life and prognosis of patients.更多还原