Jianwei Ge, Weiqiao Zhang, Xiaohua Zhang, Qizhong Luo, Jiyao Jiang, Yongming Qiu
Department of Neurosurgery, School of Medicine, Ren Ji Hospital, Shanghai JiaoTong University, Shanghai, PR China.
J Craniofac Surg. 2009 Jul;20(4):1097-9. doi: 10.1097/scs.0b013e3181abbf09.
There are different reports about operative methods for the treatment of hypertensive intracerebral hematomas. Our experience of transsylvian-transinsular microsurgical approach to hypertensive putaminal hematomas was analyzed.
A retrospective analysis was performed on 28 consecutive patients with hypertensive intracerebral hematomas who underwent surgical treatment at the Department of Neurosurgery, Renji Hospital, from January 2004 to December 2007.
The transsylvian-transinsular approach to evacuate the hypertensive putaminal hematoma gains a good result. We believe it allows decompression of important deep-seated neurostructures with a more suitable angle and shorter distance from the cortex to the hematoma; allows easier access to vessels responsible for the bleeding, reducing the rate of rebleeding postoperatively; and avoids damage to the temporal or frontal cortex.
Transsylvian-transinsular approach for hypertensive putaminal hematoma is advocated.
关于高血压性脑出血的手术治疗方法有不同的报道。我们分析了经外侧裂-经岛叶显微手术治疗高血压性壳核血肿的经验。
对2004年1月至2007年12月在仁济医院神经外科接受手术治疗的28例连续性高血压性脑出血患者进行回顾性分析。
经外侧裂-经岛叶入路清除高血压性壳核血肿取得了良好效果。我们认为该入路能以更合适的角度、从皮质到血肿的更短距离对重要深部神经结构进行减压；能更轻松地接近出血相关血管，降低术后再出血率；并避免损伤颞叶或额叶皮质。
提倡采用经外侧裂-经岛叶入路治疗高血压性壳核血肿。
