CAJ | 학술논문

目的：分析小骨窗经侧裂-岛叶入路手术治疗高血压脑出血的效果。方法应用小骨窗经侧裂-岛叶入路手术治疗高血压脑出血36例，并与38例接受常规骨瓣皮质造瘘手术患者进行比较。结果与接受常规的骨瓣皮质造瘘入路手术者相比，接受小骨窗经侧裂-岛叶入路手术者的术后并发症率明显下降（分别为47.4％和25.0％， P＜0.05）、术后6月的良好恢复率高[手术后6月格拉斯哥结局量表（GOS）分别为55.3％和77.8％，P＜0.05]。结论小骨窗经侧裂-岛叶入路手术治疗高血压脑出血的近期和远期疗效优于常规手术。
목적：분석소골창경측렬-도협입로수술치료고혈압뇌출혈적효과。방법응용소골창경측렬-도협입로수술치료고혈압뇌출혈36례，병여38례접수상규골판피질조루수술환자진행비교。결과여접수상규적골판피질조루입로수술자상비，접수소골창경측렬-도협입로수술자적술후병발증솔명현하강（분별위47.4％화25.0％， P＜0.05）、술후6월적량호회복솔고[수술후6월격랍사가결국량표（GOS）분별위55.3％화77.8％，P＜0.05]。결론소골창경측렬-도협입로수술치료고혈압뇌출혈적근기화원기료효우우상규수술。
Objective To observe the efficacy of minimally invasive surgery via transsylvian fissure-insular approach in patients with hypertensive intracranial hemorrhage . Methods Thirty-six patients were treated by minimally invasive neurosurgery for hematoma evacuation via transsylvian fissure-insular approach ,and their outcomes were compared with those of 38 patients treated by with routine surgery for hematoma evacuation . Results Compared with the patients treated by routine hematoma evacuation surgery , patients treated with minimally invasive surgery had less post-operation complications ( 47.4% vs 25.0%, P<0.05 ) and higher rate of favorable outcome assessed by Glasgow Outcome Scale (GOS) 6 months after surgery (55.3% vs 77.8%,P<0.05). Conclusion The recent and remote efficacies of minimally invasive neurosurgery for hematoma evacuation via transsylvian fissure -insular approach for hypertensive intracranial hemorrhage are better than that by routine hematoma evacuation surgery .