| 摘要: |
| ［摘要］ 目的 观察经外侧裂-岛叶入路显微手术治疗高血压脑出血的临床疗效。方法 选取2015-06～2016-08该院收治的高血压脑出血患者90例，将所有患者按随机数字表法分为对照组和观察组各45例。对照组采用常规骨瓣开颅手术，观察组采用经外侧裂-岛叶入路显微手术，对比两组患者手术前后生活能力及昏迷程度评分、不良反应发生率。结果 手术后，观察组生活能力及昏迷程度评分均高于对照组，差异有统计学意义（P<0.05）；观察组不良反应发生率为6.67%，明显低于对照组的24.44%，差异有统计学意义（P<0.05）。结论 经外侧裂-岛叶入路显微手术治疗高血压脑出血临床疗效显著，对患者形成的创伤较小、术后不良反应少、安全性高，在临床应用中值得推广。 |
| 关键词: 经外侧裂-岛叶入路 显微手术 高血压脑出血 临床疗效 |
| DOI：10.3969/j.issn.1674-3806.2018.03.19 |
| 分类号:R 743.34 |
| 基金项目: |
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| Clinical observation on treatment of hypertensive intracerebral hemorrhage by lateral fissure insular approach microsurgery |
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WANG Yong-feng
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Department of Neurosurgery, the People′s Hospital of Baofeng County in Pingdingshan City, Henan 467400, China
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| Abstract: |
| ［Abstract］ Objective To explore the clinical effect of the treatment of hypertensive intracerebral hemorrhage by microsurgery through lateral fissure insular approach.Methods 90 patients with hypertensive cerebral hemorrhage in our hospital from June 2015 to August 2016 were selected. All the patients were randomly divided into two groups according to the random number table method, with 45 cases in each group. The control group was treated with conventional craniotomy, while the observation group was treated with lateral fissure insular approach microsurgery. The hematoma clearance rate, preoperative and postoperative living ability and coma score, adverse reaction rate were compared between the two groups.Results The hematoma clearance rate of the observation group was significantly higher than that of the control group(P<0.05). After operation, the life ability and the degree of coma score in the observation group improved better than those in the control group(P<0.05). The incidence of adverse reactions in the observation group(6.67%) was significantly lower than that in the control group(24.44%)(P<0.05).Conclusion Minimally invasive surgery by lateral fissure insular approach is effective in treatment of hypertensive intracerebral hemorrhage. |
| Key words: Lateral fissure insular approach Microsurgery Hypertensive intracerebral hemorrhage Clinical efficacy |
