CAJ | 학술논문

目的：探讨小骨窗经外侧裂显微手术治疗高血压性基底节区脑出血疗效。方法选择我院2013年12月至2015年2月30例出血量在30~60 mL的基底节区出血患者,对其手术过程及疗效进行回顾,总结小骨窗经外侧裂显微手术的方法及技巧,对比分析了传统手术优缺点。结果患者术后24 h复查CT颅内血肿清除90%以上,1例出现颞叶脑梗塞,无再次出血及死亡病例。患者术后意识恢复良好,通过早期康复治疗,肢体功能、语言功能均不同程度好转。结论小骨窗经侧裂显微镜下清除基底节区中等量血肿具有创伤小、止血彻底、功能保护好等明显优点,可在神经外科手术中推广应用。
목적：탐토소골창경외측렬현미수술치료고혈압성기저절구뇌출혈료효。방법선택아원2013년12월지2015년2월30례출혈량재30~60 mL적기저절구출혈환자,대기수술과정급료효진행회고,총결소골창경외측렬현미수술적방법급기교,대비분석료전통수술우결점。결과환자술후24 h복사CT로내혈종청제90%이상,1례출현섭협뇌경새,무재차출혈급사망병례。환자술후의식회복량호,통과조기강복치료,지체공능、어언공능균불동정도호전。결론소골창경측렬현미경하청제기저절구중등량혈종구유창상소、지혈철저、공능보호호등명현우점,가재신경외과수술중추엄응용。
Objective To investigate the efficacy of microsurgery treatment with small craniotomy lateral fissure approach for hyperten-sive basal ganglia intracranial hemorrhage. Methods From December 2013 to February 2015, 30 patients with hypertensive basal ganglia intracranial hemorrhage ( blood loss within 30~60 mL) were analyzed respectively. Summarized the methods and techniques of this microsur-gery treatment and analyzed its advantages and disadvantages compared with the traditional operation. Results The hematomas were excluded more than 90% which were proved by reexamination after opreation. There was one case of temporal lobe infarction,but there was no re-bleed case and death case. The recovery of consciousness is good, and the limb function and language function were improved by early rehabilitation treatment. Conclusion Microsurgery treatment with small craniotomy lateral fissure approach for hypertensive basal ganglia intracerebral hemorrhage has the advantages of minimal invasion,complete hematoma removal and low complication and disability rates, which is worthy of promotion and application.