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改良翼点颞中回入路治疗底节区高血压脑出血
引用本文:叶沛,李春国,王步东,李军,高友好. 改良翼点颞中回入路治疗底节区高血压脑出血[J]. 神经病学与神经康复学杂志, 2008, 5(3)
作者姓名:叶沛  李春国  王步东  李军  高友好
作者单位:安徽省六安市人民医院神经外科,六安,237005;安徽省六安市人民医院神经外科,六安,237005;安徽省六安市人民医院神经外科,六安,237005;安徽省六安市人民医院神经外科,六安,237005;安徽省六安市人民医院神经外科,六安,237005
摘    要:目的 探讨底节区高血压脑出血外科手术方法和效果.方法 回顾性分析采用改良翼点颞中回入路治疗35例底节区高血压脑出血病例.结果 术后24h内复查头颅CT明确血肿清除效果,30例血肿清除>90%,4例血肿清除<70%,1例再出血.术后存活34例,死亡1例,为再出血.存活者随访6个月,根据GOS评分:恢复良好 18例,中残11例,重残3例,植物生存 1例,死亡1例.结论 改良翼点颞中回入路治疗底节区高血压脑出血效果好,具有止血彻底;血肿清除率高、神经功能恢复好等优点.

关 键 词:底节区  高血压脑出血  颞中回  改良翼点入路

Treatment of Hypertensive Basal Ganglia Hematomas through Modified Transpterional Middle Temporal Gyrus Approach
Ye Pei,Li Chunguo,Wang Budong,Li Jun,Gao Youhao. Treatment of Hypertensive Basal Ganglia Hematomas through Modified Transpterional Middle Temporal Gyrus Approach[J]. Journal of Neurology and Neurorehabilitation, 2008, 5(3)
Authors:Ye Pei  Li Chunguo  Wang Budong  Li Jun  Gao Youhao
Affiliation:Ye Pei,Li Chunguo,Wang Budong,Li Jun,Gao Youhao(Department of neurosurgery,Luan People's Hospital,Luan 237005,Anhui Province,China)
Abstract:Objective To study the method of and effect on treatment of patients with hypertensive basal ganglia hematomas through modified transpterional middle temporal gyrus approach. Methods Thirty-five paitients with hypertensive basal ganglia hematomas underwent treatment through modified transpterional middle temporal gyrus approach and the clinical data were retrospectively analysed. Results The postoperative CT scan showed that in 30 cases the removel rate of the hematomas amounted to more than 90%, while in 4...
Keywords:basal ganglia  hypertensive cerebral hemorrhage  middle temporal gyrus  modified transpterional approach  
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