CAJ | 학술논문

目的：评估经外侧裂入路手术对高血压基底节区脑出血的治疗效果。方法：回顾性分析26例经外侧裂入路显微手术治疗基底节区脑出血患者临床资料,采用日常生活活动能力(ADL)分级法对术后存活者进行评估。结果：26例患者术后随访6个月,结果死亡1例,存活25例；ADL分级法评估结果如下：I级3例,Ⅱ级11例,Ⅲ级8例,Ⅳ级2例,V级1例。死亡1例。结论：经外侧裂入路手术能有效清除血肿和止血,而且术后神经功能恢复良好,证明外侧裂人路显微手术是一种能够有效治疗高血压基底节区脑出血的方法。
목적：평고경외측렬입로수술대고혈압기저절구뇌출혈적치료효과。방법：회고성분석26례경외측렬입로현미수술치료기저절구뇌출혈환자림상자료,채용일상생활활동능력(ADL)분급법대술후존활자진행평고。결과：26례환자술후수방6개월,결과사망1례,존활25례；ADL분급법평고결과여하：I급3례,Ⅱ급11례,Ⅲ급8례,Ⅳ급2례,V급1례。사망1례。결론：경외측렬입로수술능유효청제혈종화지혈,이차술후신경공능회복량호,증명외측렬인로현미수술시일충능구유효치료고혈압기저절구뇌출혈적방법。
Objective:To evaluate the treatment effect of transsylvian fissure operation on hypertensive cerebral hemorrhage in basal ganglia.Methods:A retrospective analysis of 26 cases with transsylvian approach the clinical data of the patients with microscopic operation in treatment of cerebral hemorrhage in basal ganglia, with activities of daily living (ADL) assessment of postoperative survival of grading method.Results:26 patients were followed up for 6 months, results 1 cases died, 25 cases survived;the evaluation result of ADL classification method are as follows:3 cases of grade I, 11 cases of grade II, 8 cases of gradeⅢ, 2 patients with grade IV, 1 cases of grade V. 1 cases of death. Conclusion:Transsylvian fissure operation can effectively remove the hematoma, bleeding, and postoperative neurological function recovered well, that lateral fissure approach microsurgical operation is an effective method for treatment of hypertensive basal ganglia hemorrhage.