CAJ | 학술논문

目的：分析经外侧裂-岛叶入路清除高血压基底节区脑出血的疗效。方法回顾分析49例单纯基底节区内囊以外的血肿患者，其中经外侧裂-岛叶入路显微手术治疗21例，经颞叶皮质入路手术治疗28例。从手术方法、血肿暴露、血肿清除难易、术中止血、术中脑组织损伤、术后复查、患者恢复方面进行对比分析。结果经外侧裂-岛叶与经颞上回入路清除高血压基底节区脑出血组比较，在72 h 再出血率及术后3个月日常生活能力评分（ADL）中的 Barthel 指数评分比较，差异有统计学意义（均 P ＜0．05）。结论经外侧裂-岛叶入路清除高血压基底节区脑出血的效果优于经颞上回入路。
목적：분석경외측렬-도협입로청제고혈압기저절구뇌출혈적료효。방법회고분석49례단순기저절구내낭이외적혈종환자，기중경외측렬-도협입로현미수술치료21례，경섭협피질입로수술치료28례。종수술방법、혈종폭로、혈종청제난역、술중지혈、술중뇌조직손상、술후복사、환자회복방면진행대비분석。결과경외측렬-도협여경섭상회입로청제고혈압기저절구뇌출혈조비교，재72 h 재출혈솔급술후3개월일상생활능력평분（ADL）중적 Barthel 지수평분비교，차이유통계학의의（균 P ＜0．05）。결론경외측렬-도협입로청제고혈압기저절구뇌출혈적효과우우경섭상회입로。
Objective To analysis the efficacy of transsylvian fissure-insular surgical approach for removal of intracerebral hematoma in basal ganglia region.Methods The clinical datas of 21 patients underwent microsurgery by transsylvian fissure-insular surgical approach and 28 by transsuperior temporal gyrus approach were analyzed retrospectively .Results There were significant differences of the recurrent hemorrhage rate ,the Barthel index after 3 months between two groups (P <0.05 ).Conclusion Transsylvian fissure-insular approach is safer and more effective than transsuperior temporal gyrus approach in the treatment of hypertensive intracerebral hemorrhage in basal ganglia region.