Clinical Study of the Minimally Invasive Surgical Treatment of Hypertensive Putamianal Hematomas via Transsylvian Transinsular Approach_West China Medical Journal

Authors：

ZHOU Mingsen.

Department of Neurosurgery, the Second People’s Hospital of Dazhou City, Dazhou Sichuan 635000， China;

Corresponding author：

Keywords：

高血压性壳核出血; 经侧裂岛叶入路; 微侵袭手术治疗

Video：

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目的:探讨经侧裂岛叶入路微侵袭手术对高血压性壳核出血患者的治疗价值。方法:回顾性分析65例HPH患者的临床资料,其中51例患者接受经侧裂岛叶入路开颅手术治疗,14例采用保守治疗。结果:手术组平均住院日、主要并发症发生率、总体死亡率均低于保守治疗组。随访6月时,手术组恢复良好率高于对照组。结论:经侧裂岛叶入路手术治疗可改善高血压性壳核出血患者临床预后。

Citation： ZHOU Mingsen.. Clinical Study of the Minimally Invasive Surgical Treatment of Hypertensive Putamianal Hematomas via Transsylvian Transinsular Approach. West China Medical Journal, 2009, 24(5): 1072-1074. doi: Copy

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1. 杨朋范,王如密.高血压脑出血的外科治疗现状[J].立体定向和功能神经外科杂志,1999,12(4):56..
2. 张彬.高血压脑出血的外科治疗时展[J].医学综述,2007,12(4):288-299..
3. FISHER C M. Clinical syndromes in cerebral thrombosis, hypertensive hemorrhage, and ruptured saccular aneurysm[J]. Clin Neurosurg,1975,22:117-47..
4. MIZUKAMI K. Surgery for hypertensive intracerebral hemorrhage[J]. Rinsho Seijinbyo(Tokyo),1980,10:19-27..
5. 周良辅.现代神经外科学[M].上海:复旦大学出版社,2001:798..
6. BARBARA G A, DAVID M A. International variations in surgical practice for spontaneous intracerebral hemorrhage [J]. Circulation,2003,34:2593-2597..
7. BRODERICK J, CONNOLLY S, FELDMANN E, et al. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group [J]. Circulation,2007,116:e391-413..
8. MITCHELL P, GREGSON B A, VINDLACHERUVU R R, et al. Surgical options in ICH including decompressive craniectomy [J]. J Neurol Sci,2007,261:89-98..
9. 石小峰,史克珊,曹作为.高血压脑出血术后迟发性癫痫[J].安徽医学,2002,23(1):47.

West China Medical Journal

Clinical Study of the Minimally Invasive Surgical Treatment of Hypertensive Putamianal Hematomas via Transsylvian Transinsular Approach

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