CAJ | 학술논문

目的：探讨经外侧裂-岛叶入路显微外科治疗基底节区高血压脑出血的疗效。方法回顾分析12例高血压基底节区脑内血肿患者在急性期接受经外侧裂-岛叶入路显微手术治疗。结果术后即刻复查CT示10例血肿基本清除，2例清除约70％。随访3个月时GOS评分：恢复良好8例，轻度残疾3，重度残疾1例，本组无植物生存及死亡病例。结论经外侧裂-岛叶入路显微外科治疗基底节区高血压脑出血具有微创的特点，能有效清除脑内血肿，并减少了颞叶皮层及血管的损伤，有益于改善患者的预后。
목적：탐토경외측렬-도협입로현미외과치료기저절구고혈압뇌출혈적료효。방법회고분석12례고혈압기저절구뇌내혈종환자재급성기접수경외측렬-도협입로현미수술치료。결과술후즉각복사CT시10례혈종기본청제，2례청제약70％。수방3개월시GOS평분：회복량호8례，경도잔질3，중도잔질1례，본조무식물생존급사망병례。결론경외측렬-도협입로현미외과치료기저절구고혈압뇌출혈구유미창적특점，능유효청제뇌내혈종，병감소료섭협피층급혈관적손상，유익우개선환자적예후。
Objective To study the therapeutic effects for cerebral hematomas in basal ganglia region by microsurgery via transsylvian fissure-insular approach .Methods The clinical data of 12 patients with intracerebral hematoma in basal ganglia region in acute stage were performed microsurgery via transsylvian fissure -inscular approach , were analyzed retrospectively .Results The CT scan after surgery showed the hematomas almost removed in 10 cases and 70% removed in 2.The GOS after follow up for 6 months ahowed good outcome was achieved in 8 cases,mild disability in 3, severe disability in 1 and no patient died after surgery .Conclusions Microsurgery treatment via transsylvian fissure-inscular approach for intracerebral hematoma in basal ganglia region has advantages such as minimal invasive and effective ,small damage of cortex of temporal lobe and vessels , improvement of prognoses .