摘要
目的探讨经中央沟下点入路显微手术治疗优势半球高血压性基底节区出血的疗效。方法回顾性分析2016～2018年福建省宁德市医院神经外科显微手术治疗的70例优势半球高血压性基底节区出血的临床资料。采用经中央沟下点入路35例(改良组),采用颞中回入路35例(对照组)。结果两组术后次日残余血肿量无显著差异(P>0.05)。改良组术后1月语言能力和术后3月GOS评分均明显优于对照组(P<0.05)。结论与传统颞中回入路相比,经中央沟下点入路显微手术治疗优势半球基底节高血压性基底节区出血,失语程度轻,恢复快。
Objective To explore the value of surgery through lower point of rolandic fissure approach to the treatment ofhypertensive cerebral hemorrhage in the basal ganglia of dominant hemisphere. Methods Of 70 patients with hypertensive cerebralhemorrhage in the basal ganglia of dominant hemisphere treated in our department from 2016 to 2018, 35（observed group） underwentthe microsurgery through lower point of rolandic fissure approach. and 35 through gyri temporalis medium approach. The postoperativeresidual hematoma volume, degree of aphasia and GOS score were compared between the two groups. Results There were not significantdifference in the postoperative residual hematoma volume between the two groups（P〉0.05）. The language competence 1 month after theoperation and GOS scores 3 months after the operation were significantly better in the observed group than those in the control group（P〈0.05）. Conclusion The microsurgery through lower point of rolandic fissure approach can better improve the language competence andprognoses in the patients with hypertensive cerebral hemorrhage in the basal ganglia of dominant hemisphere compared to themicrosurgery through gyri temporalis medium approach.
作者
林晖
吴光辉
刘美秋
LIN Hui;WU Guang-hui;LIU Mei-qiu(Department of Neurosurgery,Ningde Municipal Hospital,Ningde 352100,China)
出处
《中国临床神经外科杂志》
2018年第10期659-661,共3页
Chinese Journal of Clinical Neurosurgery
