【摘要】 目的 探讨高血压基底节出血的显微外科治疗技巧、效果和预后。 方法 回顾分析2007年3月-2009年10月52例高血压所致基底节出血患者的临床表现、影像学资料、手术方式、治疗效果及随访资料。 结果 52例患者均于显微镜下清除血肿，无手术死亡。39例患者术后神经功能障碍得到改善，8例症状加重持续昏迷，5例术后1周死亡。术后随访6~18个月，35例生活基本能够自理[日常生活能力量表（ADL）Ⅰ~Ⅲ级]，12例长期卧床（ADL Ⅳ级）。 结论 采用显微外科技术治疗高血压基底节出血效果良好。
【Abstract】 Objective To investigate the technique, effectiveness, and prognosis of microsurgical treatment of hypertensive basal ganglia hemorrhage. Methods A retrospective study was carried out on 52 patients with hypertensive basal ganglia hemorrhage from March 2007 to October 2009. The clinical presentation, neuroradiological data, surgical approach, therapeutic efficacy and follow-up data were reviewed. Results All of the hematoma were removed under microscope without surgery-related death. After operation, the functional disorders of nervous system were improved in 39 patients. Eight patients deteriorated with persistent coma after operation, five patients died. The survivors were followed-up for six to 18 months. Thirty-five patients were able to self-care with some efforts (ADL Ⅰ-Ⅲ), and 12 patients had hemiparalysis or coma (ADL Ⅳ). Conclusion Microsurgery is an effective treatment for hypertensive basal ganglia hemorrhage with microsurgical technique.
Citation： PENG Jun,ZHANG Mingwei,FAN Xiuyun,CAO Xiangjun. Clinical Analysis with Microsurgical Treatment in Patients with Hypertensive Basal Ganglia Hemorrhage. West China Medical Journal, 2010, 25(8): 1448-1449. doi: Copy