CAJ | 학술논문

目的:探讨高血压基底节区脑出血的手术治疗方法和效果.方法:对38例高血压基底节区脑出血患者显微手术治疗的临床资料进行回顾性分析.结果:术后复查头颅CT示:血肿清除>90%者30例,其余8例血肿清除<80%,术后存活32例,死亡6例.在存活32例中,术后六个月根据GOS评分:恢复良好10例,中残:12例,重残:8例,植物生存:2例.结论:高血压基底区脑出血显微手术治疗对脑组织损伤小,血肿清除率高,神经功能恢复好等优点.
목적:탐토고혈압기저절구뇌출혈적수술치료방법화효과.방법:대38례고혈압기저절구뇌출혈환자현미수술치료적림상자료진행회고성분석.결과:술후복사두로CT시:혈종청제>90%자30례,기여8례혈종청제<80%,술후존활32례,사망6례.재존활32례중,술후륙개월근거GOS평분:회복량호10례,중잔:12례,중잔:8례,식물생존:2례.결론:고혈압기저구뇌출혈현미수술치료대뇌조직손상소,혈종청제솔고,신경공능회복호등우점.
Objective: To study the method and effect of microsurgical treatment on patients with hypertensive basal ganglia hematomas. Method:Thrity eight patients with hypertensive basalganglia hematomas underwent microsurgical treatment and the clinical data were retrospectively analysed. Result:The postoperative CT scan showed that 38 cases were removed the hematomas for more than 90% ,while 8 cases less than 80% . Thirty two patiants survived and 6 patients died after operation , The therapeutic effects of the survival were evaluated at 6 months after operation according to Glasgow Outcome Scale (COS) categories: good recovery, moderate disability, severe disability, persistent vegetative state were obtained in 10 cases , 12 cases,8 cases and 2 cases respectively. Conclusion:Microsurgical treatment is effective for hypertensive basal ganglia area hematomas, and it is characterized by minimal cerebral tissues injury, high hematomas removal ratio and good nervous function recovery.