| 超早期翼点小切口经侧裂-岛叶入路显微手术治疗高血压基底节区脑出血的疗效观察 |
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| 引用本文： | 陈东亮,彭涛,谢庆海,谢观生,吴明伟,霍永强,吴京展.超早期翼点小切口经侧裂-岛叶入路显微手术治疗高血压基底节区脑出血的疗效观察[J].中国临床神经外科杂志,2009,14(7):412-414. |
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| 作者姓名： | 陈东亮 彭涛 谢庆海 谢观生 吴明伟 霍永强 吴京展 |
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| 作者单位： | 钦州市第一人民医院神经外科二病区,广西钦州,535000 |
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| 基金项目： | 广西钦州市科学研究与技术开发计划项目 |
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| 摘 要： | 目的探讨高血压基底节区脑出血（HBGH）新的手术治疗方法和疗效。方法60例HBGB患者中，30例经超早期翼点小切口经侧裂-岛叶入路显微手术清除血肿（侧裂组），另30例经常规骨瓣开颅、皮质造瘘口直视下手术清除血肿（皮质组）。结果侧裂组近期和远期疗效均明显优于皮质组（P〈0．05）。结论超早期翼点小切口经侧裂一岛叶入路显微手术治疗HBGH创伤小、疗效佳、预后好。
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| 关 键 词： | 脑出血 基底节区 超早期 小翼点 侧裂入路 显微手术 |
Curative Effect of Super Early Microsurgery through Pterional Lateral Fissure-lnsula Keyhole Approach on Hypertensive Cerebral Hemorrhage in Basal Ganglia Regions |
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| Institution: | CHEN Dong-liang, PENG Tao, XIE Qing-hai, et al( Department of Neurosurgery, The First People＇s Hospital of Qingzhou City, Qingzhou Guangxi 535000, China) |
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| Abstract: | Objective To explore a new surgical method to treat hypertensive basal ganglia hemorrhage(HBGH) and its curative effect on HBGH. Methods Of 60 patients with HBGB, 30 (lateral fissure group) underwent super early microsurgery through pterionsl lateral fissure-insula keyhole approach for hematomas, and 30 (transcortical group) underwent traditional normal bone flap transcortical craniotomy for the hematomas. Results The short and long term curative effects in the lateral fissure group were significantly better than those in the transcortical group (P<0.05). Conclusion The curative effect of super early microanrgery through pterianal lateral fissure-insula keyhole approach, which produces only minimal trauma, on HBGH is good. |
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| Keywords: | Hypertensive cerebral hemorrhage Basal ganglia Lateral fissure approach Pterional approach Keyhole craniotomy |
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