CAJ | 학술논문

目的探讨经胼胝体入路显微外科技术在丘脑出血治疗中的应用价值.方法回顾2010年1月至2013年1月期间应用经胼胝体入路手术治疗的丘脑出血患者25例的临床资料,评价患者手术效果及预后转归.结果本组手术病例中术后无颅内感染及再出血患者,术后3个月存活20例.Barthel指数评分结果:BI ＞60分(生活基本自理):5例;40＜ BI＜ 60分(中度功能障碍):9例;40＜ BI＜ 20分(重度功能障碍)4例;BI ＜20分(完全残疾):2例.结论经胼胝体入路显微外科技术可有效清除丘脑血肿,术后并发症少,是一种可行的治疗丘脑出血的临床方法.
목적 탐토경변지체입로현미외과기술재구뇌출혈치료중적응용개치.방법 회고2010년1월지2013년1월기간응용경변지체입로수술치료적구뇌출혈환자25례적림상자료,평개환자수술효과급예후전귀.결과 본조수술병례중술후무로내감염급재출혈환자,술후3개월존활20례.Barthel지수평분결과:BI ＞60분(생활기본자리):5례;40＜ BI＜ 60분(중도공능장애):9례;40＜ BI＜ 20분(중도공능장애)4례;BI ＜20분(완전잔질):2례.결론 경변지체입로현미외과기술가유효청제구뇌혈종,술후병발증소,시일충가행적치료구뇌출혈적림상방법.
Objective Explore the application of microsurgical technique via transcallosal approach in the treatment of thalamic hemorrhage.Methods the clinical data of 25 patients with thalamic hemorrhage who were treated by haematoma evacuation by microscope via transcallosal approach in neurosurgery of our department from January 2010 to January 2013,the operation result and prognosis were collected.Results There is no patient suffered from intracranial infection and rebleeding after operation.20 patients survived after 3 months.The Barthel Index evaluation:BI ＞ 60(independent living) in 5 cases; 40 ＜ BI ＜ 60 (severe dysfunction) in 9 cases; 40 ＜ BI ＜ 20 (Moderate dysfunction) in 4 cases ; BI ＜ 20 (total disability)in 2 cases.Conclusion The microsurgical technique via transcallosal approach can remove thalamic hemorrhage effectively,and cause low postoperative complications.It is a feasible surgical technique for treatment of thalamic hemorrhage.