Yamanaka R, Satoh S
Neurol Med Chir (Tokyo). 1989 Jan;29(1):15-9. doi: 10.2176/nmc.29.15.
Changes in cerebral blood flow (CBF) were measured and compared in 40 patients with putaminal hemorrhage who underwent either stereotactic hematoma aspiration or conservative treatment. There were no statistically significant differences in mean CBF or hemispheric CBF between the two treatment groups. Although there are claims of the superiority of surgery from the standpoint of integrated cortical function following mild putaminal hemorrhage, the results of this investigation indicate that conservative therapy is adequate in such cases, based on improvement in CBF.
对40例接受立体定向血肿抽吸术或保守治疗的壳核出血患者的脑血流量(CBF)变化进行了测量和比较。两个治疗组之间的平均CBF或半球CBF无统计学显著差异。尽管从轻度壳核出血后综合皮质功能的角度有观点称手术更具优势,但本研究结果表明,基于CBF的改善,此类病例采用保守治疗是足够的。