经侧裂－脑岛入路显微手术治疗壳核区高血压脑出血的经验
Jianwei, Ge等
From the Department of Neurosurgery, School of Medicine, Ren Ji Hospital, Shanghai Jiaotong University, Shanghai, People's Republic of China.
摘要：
背景：关于高血压性脑内血肿的治疗方法有各种不同的报道。
我们对于经侧裂－脑岛入路显微手术治疗壳核区高血压脑出血治疗的经验及分析。
方法：对于在仁济医院神经外科治疗的28例壳核区高血压脑出血的病人进行回顾性分析，时间段为2004.1年至2007.12。
结果：经侧裂－脑岛入路显微手术对于壳核区高血压脑出血的疏导获得了非常好的疗效。
我们认为此项手术具有较理想的角度，和获得较短的皮质到血肿的距离，可对深部的重要神经结构进行减压；同时较容易探寻重要出血血管，减少术后的再出血几率；同时避免了颞叶或额叶的皮质损伤。
结论：壳核区高血压脑出血的经侧裂－脑岛入路显微手术治疗是值得提倡的。
Attached original abstract of paper:
Our Experience of Transsylvian-Transinsular Microsurgical Approach to Hypertensive Putaminal Hematomas
Jianwei, Ge MD; Weiqiao, Zhang MD, PhD; Xiaohua, Zhang MD; Qizhong, Luo MD; Jiyao, Jiang MD, PhD; Yongming, Qiu MD, PhD
Abstract
Background: 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. Methods: 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. Results: The transsylvian-transinsular approach to evacuate the hypertensive putaminal hematoma gains a good result. We believe it allows decompression of important deepseated 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.
Conclusions: Transsylvian-transinsular approach for hypertensive putaminal hematoma is advocated.。
