显微手术治疗高血压基底节脑出血32例临床分析

目的探讨经外侧裂-岛叶入路显微手术治疗高血压基底节区脑出血的手术方法和疗效。方法自2007年1月～2010年1月对32例高血压基底节脑出血采取经外侧裂-岛叶入路显微手术清除血肿。结果术后1d复查头部CT,血肿清除〉80%26例,60%～80%6例,术后6个月根据GOS评分恢复良好9例（28.1%）,中残12例（37.5%）,重残4例（12.5%）,植物生存1例（3%）,死亡6例（18.7%）。结论经外侧裂-岛叶入路显微手术治疗基底节区脑出血是一种损伤小、疗效好、预后客观的微创手术方法。

Clinical analysis of microsurgical treatment in 32 case of hypertensive basal ganglia hemorrhage

Objective To study the therapeutic effects for cerebral in basal ganglia by microneurosurgery via transsylvian fissure-insular approach.MethodsRetrospective analysis was performed in 32 cases with cerebral hematomas in basal ganglia region which were treated by microsurgery via transsylvian fissure-insular approach in our department from 2007.1 to 2010.1.ResultsWith 6 months follow-up study after surgery and according to Glasgow Outcome Score（GOS）,the cases of good recovery（GR）,moderate disability（MD）,severe disability（SD）,persistent vegetative state（PVS） and dead（D） were 9 cases（28.1%）,12 cases（37.5%）,4 cases（12.5%）,1 cases（3%） and 6 cases（18.7%） respectively.Conclusion Micronneurosurgical treatment via transsylvian fissure-insular approach for cerebral hematomas in basal ganglia region is a kind of minimally invasive method with less damage,better effects and more favorable prognosis.