[1]陈东亮,彭玉平①,漆松涛①,等.超早期小翼点切口锁孔经侧裂-岛叶入路显微手术治疗高血压基底节区脑出血的临床研究[J].中国微创外科杂志,2008,08(7):645-647.
　Chen Dongliang*,Peng Yuping,Qi Songtao,et al.Microsurgery through Lateral Fissure and Insula via Pterional Keyhole Approach for Hypertensive Cerebral Hemorrhage in the Fundus Node at a Super Early Stage[J].Chinese Journal of Minimally Invasive Surgery,2008,08(7):645-647.
点击复制

超早期小翼点切口锁孔经侧裂-岛叶入路显微手术治疗高血压基底节区脑出血的临床研究()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年7期
页码:
645-647
栏目:
出版日期:
2008-11-01

文章信息/Info

Title:
Microsurgery through Lateral Fissure and Insula via Pterional Keyhole Approach for Hypertensive Cerebral Hemorrhage in the Fundus Node at a Super Early Stage
作者:
陈东亮; 彭玉平①; 漆松涛①; 谢庆海; 彭涛; 颜循金; 李云; 覃祖业
广西钦州市第一人民医院神经外科二病区，钦州535000
Author(s):
Chen Dongliang*;  Peng Yuping;  Qi Songtao;  et al.
*Section 2 of Neurosurgery Department, First People’s Hospital of Qinzhou City, Qinzhou 535000, China
关键词:
脑出血; 基底节区; 超早期; 小翼点; 侧裂入路; 显微手术
Keywords:
Cerebral hemorrhage; Fundus node; Super early stage; Pterion; Lateral fissure approach; Microsurgery
分类号:
R651.1
文献标志码:
A
摘要:
目的探讨高血压脑出血新的手术方法及疗效。方法对12例高血压基底节区脑出血病人在超早期内（≤6 h）采用小翼点切口锁孔经侧裂-岛叶入路显微手术治疗。结果手术12例中死亡1例，存活11例。术后因二次出血再手术1例，颅内感染1例。术后随访3～6个月，依据GOS评分，优7例，良3例，中1例。结论超早期小翼点切口锁孔经侧裂-岛叶入路显微手术治疗高血压基底节区脑出血，手术疗效好，为治疗高血压脑出血开辟新的途径。
Abstract:
ObjectiveTo explore a new surgical method for hypertensive cerebral hemorrhage and its efficacy.MethodsA total of 12 patients with hypertensive cerebral hemorrhage in the fundus node at a super early stage (≤6 h) were enrolled in this study. Microsurgery trough the lateral fissure and insula via pterional keyhole approach was employed to treat the patients.ResultsAll but one of the patients survived after the operation. One patient received a second operation because of hemorrhage for twice, one patient developed intracerebral infection. The survivors were followed up for 3 to 6 months. According to GOS scoring system, 7 of them achieved excellent outcomes, 3 were good, and 1 was moderate.ConclusionMicrosurgery trough the lateral fissure and insula via pterional keyhole approach is effective for hypertensive cerebral hemorrhage.

参考文献/References:

[1]吴建东，林荔青，王晨秋，等.小骨窗经侧裂入路显微手术治疗壳核脑出血.中国血液流变学杂志，2006，16（1）：81-82.
[2]戴志安，公茂清，董雷，等.显微镜下小切口经侧裂入路治疗高血压脑出血47例报告.中国医科大学学报，2005，34（2）：191.
[3]Nehls DG.Experimental intracerebral hemorrhage progression of hemodynamic changes after production of a spontaneous mass lesion.Neurosurgery，1998，23：439-444.
[4]刘策刚，陶进，许安定，等.经侧裂-岛叶入路显微手术治疗基底节区脑出血.中华神经医学杂志，2006，5（10）：1029-1031.
[5]Har KGB，Kyenog SL，Gyu Y，et al.Rapid expansion of hypertensive intracerebral hemorrhage.Neurosurgery，1992，31：358-366.
[6]王忠诚.神经外科学.武汉：湖北科学技术出版社，1998.686-687.
[7]单宝昌.高血压壳核出血超早期微创清除治疗:附36例分析.中华神经外科杂志，2001，17(2):108.
[8]李国峰，阳小生，吴小兵.锁孔入路超早期显微手术治疗基底节区脑出血.中国临床神经外科杂志，2003，8（3）：164-165.
[9]杨晓明，冀东，蔡颖琦，等.超早期微创伤显微外科治疗高血压脑出血.中华神经外科杂志，2003，19（4）：312-314.
[10]陈东亮，谢庆海，彭涛，等.超早期小翼点切口锁孔经侧裂-岛叶入路显微手术治疗高血压基底节区脑出血（附7例报告）.微创医学，2006，1（2）：88-90.

备注/Memo

备注/Memo:
基金项目:广西钦州市科技计划项目(20062703),①（南方医科大学南方医院神经外科，广州510515)
更新日期/Last Update: 2013-10-23