Clinical Study of the Minimally Invasive Surgical Treatment of Hypertensive Putamianal Hematomas via Transsylvian Transinsular Approach_West China Medical Journal

Authors：

ZHOU Mingsen.

Department of Neurosurgery, the Second People’s Hospital of Dazhou City, Dazhou Sichuan 635000， China;

Corresponding?author：

Keywords：

高血壓性殼核出血; 經側裂島葉入路; 微侵襲手術治療

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目的:探討經側裂島葉入路微侵襲手術對高血壓性殼核出血患者的治療價值。方法:回顧性分析65例HPH患者的臨床資料,其中51例患者接受經側裂島葉入路開顱手術治療,14例采用保守治療。結果:手術組平均住院日、主要并發癥發生率、總體死亡率均低于保守治療組。隨訪6月時,手術組恢復良好率高于對照組。結論:經側裂島葉入路手術治療可改善高血壓性殼核出血患者臨床預后。

Citation： ZHOU Mingsen.. Clinical Study of the Minimally Invasive Surgical Treatment of Hypertensive Putamianal Hematomas via Transsylvian Transinsular Approach. West China Medical Journal, 2009, 24(5): 1072-1074. doi: Copy

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1. 楊朋范,王如密.高血壓腦出血的外科治療現狀[J].立體定向和功能神經外科雜志,1999,12(4):56..
2. 張彬.高血壓腦出血的外科治療時展[J].醫學綜述,2007,12(4):288-299..
3. FISHER C M. Clinical syndromes in cerebral thrombosis, hypertensive hemorrhage, and ruptured saccular aneurysm[J]. Clin Neurosurg,1975,22:117-47..
4. MIZUKAMI K. Surgery for hypertensive intracerebral hemorrhage[J]. Rinsho Seijinbyo(Tokyo),1980,10:19-27..
5. 周良輔.現代神經外科學[M].上海:復旦大學出版社,2001:798..
6. BARBARA G A, DAVID M A. International variations in surgical practice for spontaneous intracerebral hemorrhage [J]. Circulation,2003,34:2593-2597..
7. BRODERICK J, CONNOLLY S, FELDMANN E, et al. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group [J]. Circulation,2007,116:e391-413..
8. MITCHELL P, GREGSON B A, VINDLACHERUVU R R, et al. Surgical options in ICH including decompressive craniectomy [J]. J Neurol Sci,2007,261:89-98..
9. 石小峰,史克珊,曹作為.高血壓腦出血術后遲發性癲癇[J].安徽醫學,2002,23(1):47.

West China Medical Journal

Clinical Study of the Minimally Invasive Surgical Treatment of Hypertensive Putamianal Hematomas via Transsylvian Transinsular Approach

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