Zheng Jie-Sheng, Yang Fang, Xu Qing-Sheng, Yu Jian-Bo, Tang Ling-Ling
Department of Neurosurgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China 310003.
J Craniofac Surg. 2010 Jul;21(4):1210-2. doi: 10.1097/SCS.0b013e3181e17d17.
The present study investigated the therapeutic effects and indications of keyhole transsylvian approach (KTA) in the treatment of hypertensive intracerebral hemorrhage (HICH). Clinical data of 65 cases of HICH were retrospectively analyzed. All the patients were treated by open surgical evacuation either through KTA (KTA group) or through conventional craniotomy approach (CCA group). The operative time, intraoperative bleeding quantity, the length of hospitalization, mortality, and favorable outcome were compared between the 2 groups. Compared with the CCA group, the KTA group had smaller bleeding quantity and shorter length of hospitalization. Favorable outcome at 3 months after admission was higher in the KTA group than that in the CCA group. The present study suggests that treatment of HICH through KTA is a practical and effective surgical procedure.
本研究探讨了锁孔经侧裂入路（KTA）治疗高血压性脑出血（HICH）的疗效及适应证。回顾性分析65例HICH患者的临床资料。所有患者均接受开颅手术清除血肿，其中采用KTA的患者为KTA组，采用传统开颅入路的患者为CCA组。比较两组患者的手术时间、术中出血量、住院时间、死亡率及良好预后情况。与CCA组相比，KTA组出血量更少，住院时间更短。KTA组入院后3个月的良好预后率高于CCA组。本研究表明，通过KTA治疗HICH是一种切实有效的手术方法。
