经侧裂-岛叶入路内镜手术治疗基底节区高血压脑出血

[Trans-sylvian-insular approach endoscopic surgery for basal ganglia hypertensive hemorrhage].

作者信息

Zhu Guang-tong, Huang Hui, Hu Zhi-qiang, Guan Feng, Dai Bin, Xiao Zhi-yong, Mao Bei-bei, Kang Zhuang

机构信息

Department of Neurosurgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2012 Dec 18;92(47):3361-3.

PMID:23328600

Abstract

OBJECTIVE

To explore the operative techniques and efficacy of trans-sylvian-insular approach endoscopic surgery for hypertensive basal ganglia hemorrhage.

METHODS

A retrospective analysis was conducted in 54 patients with hypertensive basal ganglia hemorrhage from December 2009 to December 2011. All of them underwent neuroendoscopic surgery via a trans-sylvian-insular approach. The hematoma volume was 30 - 40 ml (n = 8), 40 - 50 ml (n = 42) and > 50 ml (n = 4). And the Glasgow Coma Scale (GCS) was 8 - 12 (n = 48) and 13 - 15 (n = 6).

RESULTS

The clearance rate of hematoma was > 90% (n = 44) and 80% - 90% (n = 10). None suffered re-hemorrhage or death.

CONCLUSION

As a mini-invasive and efficacious approach for hypertensive basal ganglia hemorrhage, trans-sylvian-insular approach endoscopic surgery has a high clearance rate of hematoma is high and causes minimal damage to normal brain tissue. It is worth of clinical promotion.

摘要

目的

探讨经外侧裂-岛叶入路神经内镜手术治疗高血压基底节区脑出血的手术技巧及疗效。

方法

回顾性分析2009年12月至2011年12月期间54例高血压基底节区脑出血患者的临床资料。所有患者均采用经外侧裂-岛叶入路行神经内镜手术。血肿量为30 - 40 ml（8例）、40 - 50 ml（42例）和>50 ml（4例）。格拉斯哥昏迷量表（GCS）评分8 - 12分（48例），13 - 15分（6例）。