中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
10期
153-155,184
,共4页
高血压脑出血%基底节区%经侧裂-岛叶入路%显微手术
高血壓腦齣血%基底節區%經側裂-島葉入路%顯微手術
고혈압뇌출혈%기저절구%경측렬-도협입로%현미수술
Hypertensive intracerebral hemorrhage%Basal ganglia%Lateral fissure and insula approach%Microsurgery
目的：探讨经侧裂-岛叶入路手术治疗基底节区高血压脑出血的疗效及安全性。方法将72例患者根据治疗方法不同分为经侧裂-岛叶入路显微手术（观察组）和经颞叶回入路显微手术（对照组）各36例，观察两组治疗效果和并发症发生率。结果观察组手术时间、术后自动睁眼时间比对照组明显缩短（P ＜0.05）；观察组术后7d GCS 评分明显优于对照组（P ＜0.01）；观察组术后并发症发生率5.6％比对照组的22.2％明显降低（P ＜0.05）；观察组术后3、12个月 GOS 评分的优良率比对照组明显升高（P ＜0.05）。结论对于中等量（30～60mL）的基底节区出血患者，采用经侧裂-岛叶入路显微手术，是一种手术时间短、损伤小、恢复快、安全性高、预后好的治疗方法，具有广阔的临床应用前景。
目的：探討經側裂-島葉入路手術治療基底節區高血壓腦齣血的療效及安全性。方法將72例患者根據治療方法不同分為經側裂-島葉入路顯微手術（觀察組）和經顳葉迴入路顯微手術（對照組）各36例，觀察兩組治療效果和併髮癥髮生率。結果觀察組手術時間、術後自動睜眼時間比對照組明顯縮短（P ＜0.05）；觀察組術後7d GCS 評分明顯優于對照組（P ＜0.01）；觀察組術後併髮癥髮生率5.6％比對照組的22.2％明顯降低（P ＜0.05）；觀察組術後3、12箇月 GOS 評分的優良率比對照組明顯升高（P ＜0.05）。結論對于中等量（30～60mL）的基底節區齣血患者，採用經側裂-島葉入路顯微手術，是一種手術時間短、損傷小、恢複快、安全性高、預後好的治療方法，具有廣闊的臨床應用前景。
목적：탐토경측렬-도협입로수술치료기저절구고혈압뇌출혈적료효급안전성。방법장72례환자근거치료방법불동분위경측렬-도협입로현미수술（관찰조）화경섭협회입로현미수술（대조조）각36례，관찰량조치료효과화병발증발생솔。결과관찰조수술시간、술후자동정안시간비대조조명현축단（P ＜0.05）；관찰조술후7d GCS 평분명현우우대조조（P ＜0.01）；관찰조술후병발증발생솔5.6％비대조조적22.2％명현강저（P ＜0.05）；관찰조술후3、12개월 GOS 평분적우량솔비대조조명현승고（P ＜0.05）。결론대우중등량（30～60mL）적기저절구출혈환자，채용경측렬-도협입로현미수술，시일충수술시간단、손상소、회복쾌、안전성고、예후호적치료방법，구유엄활적림상응용전경。
Objective To investigate the curative effect and safety of the transsylvian insular approach, microsurgery operation on hypertensive intracerebral hemorrhage(HICH). Methods 72 cases with HICH were randomly divided into observation group(n=36) and control group(n=36). Observation group received the operation through lateral fissure-insula lobe under microscope, and control group received the operation through middle temporal lobe under microscope. The curative effect and the incidence of complications of two groups were compared. Results The operation time and automatic opening eye time after operation of observation group were shorter than those of control group(all P < 0.05); After seven days, the GCS score of observation group was higher than that of control group(P < 0.01); The incidence of postoperative complications in observation group was 5.6% , it was significantly lower than that of control group 22.2% (P < 0.05). The excellent and good rate of of GOS score in observation group after 3 months, 12 months were significantly higher than those of control group (P < 0.05). Conclusion Through lateral fissure-insula lobe microsurgical operation for treatment of basal ganglia hemorrhage(30 ~ 60mL) is a short operation time, less injury, quick recovery, high safety, good prognosis treatment. It has the broad prospects of clinical application.
