CAJ | 학술논문

目的：探讨基底节区高血压脑出血显微手术疗效。方法回顾性分析23例翼点入路经岛叶显微手术治疗的基底节区高血压脑出血患者的临床资料。结果术后24 h复查头颅CT，血肿清除率＞90％者21例（91．3％）。术后随访6～36个月，根据日常生活能力分级，Ⅰ级8例，Ⅱ级9例，Ⅲ级3例，Ⅳ级2例。Ⅴ级1例。结论翼点入路经岛叶显微手术治疗基底节区高血压脑出血，血肿清除率高、神经功能恢复较好。
목적：탐토기저절구고혈압뇌출혈현미수술료효。방법회고성분석23례익점입로경도협현미수술치료적기저절구고혈압뇌출혈환자적림상자료。결과술후24 h복사두로CT，혈종청제솔＞90％자21례（91．3％）。술후수방6～36개월，근거일상생활능력분급，Ⅰ급8례，Ⅱ급9례，Ⅲ급3례，Ⅳ급2례。Ⅴ급1례。결론익점입로경도협현미수술치료기저절구고혈압뇌출혈，혈종청제솔고、신경공능회복교호。
Objective To investigate the effects of using microsurgery to treat hypertensive basal ganglia hematoma. Methods The clinical date of 23 patients underwent microsurgery treatment through pterional approach were retrospectively analyzed. Results The postoperative CT scan within 24 h showed that the hematomas of 21(91.3%) cases were removed for more than 90%. Within 6-36 months of follow-up period,the therapeutic effects of all patients were evaluated according to activities of daily living (ADL) categories, and grade I, grade Ⅱ, grade Ⅲ, grade IV and grade V were found in 8,9,3,2 and 1 patients,respectively. Conclusion Microsurgery treatment of hypertensive basal ganglia Hematoma through pterional approach approach had a high clearance rate of hematoma and better neurologic function recovery.