CAJ | 학술논문

目的探讨经外侧裂-岛叶入路神经内镜手术治疗基底节区脑出血的手术技巧及疗效.方法 2009年12月至2011年12月对北京世纪坛医院神经外科收治的54例基底节区脑出血患者进行神经内镜手术,均采用小骨窗开颅经外侧裂-岛叶入路内镜手术清除血肿.其中出血量30～40 ml者8例,40～50 ml者42例,＞50 ml者4例,术前格拉斯哥昏迷评分(GCS)评分8～12分48例,13 ～15分6例.结果 54例患者中术后血肿清除达90％以上44例,血肿清除达80％～90％者10例.无2次出血病及无死亡病例.结论经外侧裂-岛叶入路神经内镜手术治疗基底节区脑出血的疗效确切,血肿清除率高,对脑组织损伤小,是一种微创而有效的手术方法,值得临床推广.
목적 탐토경외측렬-도협입로신경내경수술치료기저절구뇌출혈적수술기교급료효.방법 2009년12월지2011년12월대북경세기단의원신경외과수치적54례기저절구뇌출혈환자진행신경내경수술,균채용소골창개로경외측렬-도협입로내경수술청제혈종.기중출혈량30～40 ml자8례,40～50 ml자42례,＞50 ml자4례,술전격랍사가혼미평분(GCS)평분8～12분48례,13 ～15분6례.결과 54례환자중술후혈종청제체90％이상44례,혈종청제체80％～90％자10례.무2차출혈병급무사망병례.결론 경외측렬-도협입로신경내경수술치료기저절구뇌출혈적료효학절,혈종청제솔고,대뇌조직손상소,시일충미창이유효적수술방법,치득림상추엄.
Objective To explore the operative techniques and efficacy of transsylvian-insular approach endoscopic surgery for hypertensive basal ganglia hemorrhage.Methods A retrospective analysis was conducted in 54 patients with hypertensive basal ganglia hemorrhage from December 2009 to December 2011.All of them underwent neuroendoscopic surgery via a transsylvian-insular approach.The hematoma volume was 30-40 ml (n =8),40-50 ml (n =42) and ＞ 50 ml (n =4).And the Glasgow Coma Scale (GCS) was 8-12 (n =48) and 13-15 (n =6).Results The clearance rate of hematoma was ＞90％ (n =44) and 80％-90％ (n =10).None suffered re-hemorrhage or death.Conclusion As a miniinvasive and efficacious approach for hypertensive basal ganglia hemorrhage,transsylvian-insular approach endoscopic surgery has a high clearance rate of hematoma is high and causes minimal damage to normal brain tissue.It is worth of clinical promotion.