• 四川達(dá)州市第二人民醫(yī)院神經(jīng)外科,四川達(dá)州 635000;

目的:探討經(jīng)側(cè)裂島葉入路微侵襲手術(shù)對(duì)高血壓性殼核出血患者的治療價(jià)值。方法:回顧性分析65例HPH患者的臨床資料,其中51例患者接受經(jīng)側(cè)裂島葉入路開顱手術(shù)治療,14例采用保守治療。結(jié)果:手術(shù)組平均住院日、主要并發(fā)癥發(fā)生率、總體死亡率均低于保守治療組。隨訪6月時(shí),手術(shù)組恢復(fù)良好率高于對(duì)照組。結(jié)論:經(jīng)側(cè)裂島葉入路手術(shù)治療可改善高血壓性殼核出血患者臨床預(yù)后。

引用本文： 周明森. 經(jīng)側(cè)裂島葉入路微侵襲手術(shù)治療高血壓性殼核出血的臨床研究. 華西醫(yī)學(xué), 2009, 24(5): 1072-1074. doi: 復(fù)制

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  1. 1. 楊朋范,王如密.高血壓腦出血的外科治療現(xiàn)狀[J].立體定向和功能神經(jīng)外科雜志,1999,12(4):56..
  2. 2. 張彬.高血壓腦出血的外科治療時(shí)展[J].醫(yī)學(xué)綜述,2007,12(4):288-299..
  3. 3. FISHER C M. Clinical syndromes in cerebral thrombosis, hypertensive hemorrhage, and ruptured saccular aneurysm[J]. Clin Neurosurg,1975,22:117-47..
  4. 4. MIZUKAMI K. Surgery for hypertensive intracerebral hemorrhage[J]. Rinsho Seijinbyo(Tokyo),1980,10:19-27..
  5. 5. 周良輔.現(xiàn)代神經(jīng)外科學(xué)[M].上海:復(fù)旦大學(xué)出版社,2001:798..
  6. 6. BARBARA G A, DAVID M A. International variations in surgical practice for spontaneous intracerebral hemorrhage [J]. Circulation,2003,34:2593-2597..
  7. 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. 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. 9. 石小峰,史克珊,曹作為.高血壓腦出血術(shù)后遲發(fā)性癲癇[J].安徽醫(yī)學(xué),2002,23(1):47.