经外侧裂-岛叶入路与经皮质造瘘术对高血压性基底核区脑出血周围水肿带的影响
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- 英文论文题名：The effect of lateral fissure insular approach and the cerebral hemorrhage of the basal ganglia in hypertensive basal ganglia
- 论文作者：魏健强 ; 薛婷婷 ; 马剑
- 年：2016
- 作者机构：延安大学附属医院神经外科二病区;
- 论文关键词：高血压性脑出血 ; 基底核区 ; 脑水肿 ; 经外侧裂-岛叶 ; 皮质造瘘术
- 英文论文关键词：Hypertensive cerebral hemorrhage ; basal ganglia ; brain edema ; lateral fissure insular cortex ; cortical fistula
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R544.1;R651.1
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：2036k
- 原文格式：D
- 会议级别：全国
摘要
目的:比较经外侧裂-岛叶入路与经皮质造瘘术对高血压性基底核区脑出血周围水肿带的疗效。方法:将60例高血压性基底核区脑出血患者随机分为观察组和对照组,每组各30例,观察组行显微镜下经外侧裂-岛叶入路,对照组行经皮质造瘘术,比较两组住院时间、术后48h残余血肿量、7d水肿带体积及GCS评分。结果:观察组住院时间、术后48h残余血肿量、7d水肿带体积及GCS评分均显著优于对照组(P<0.05)。结论:相较于经皮质造瘘术,显微镜下经外侧裂-岛叶入路手术能明显减轻高血压性基底核区脑出血周围水肿,疗效更加显著。
Objective: To compare the therapeutic effect of the lateral fissure insular approach and the cerebral hemorrhage in the basal ganglia of hypertensive basal ganglia. Methods: 60 casesof hypertensive basal ganglia hemorrhage patients were randomly divided into observation group and control group, 30 cases in each group, the observation group underwent microscope through lateralfissure insula approach. In the control group underwent transcortical made fistula, compared two groups of hospitalization time, postoperative 48 h residual hematoma volume, 7d water swollen with volumeand GCS score. Results: In the observation group, the hospitalization time, postoperative 48 h residual hematoma volume, 7d edema volume and GCS score were significantly better than those in thecontrol group(P<0.05). Conclusion: Compared with the results of the treatment of the cerebral hemorrhage in hypertensive basal ganglia, the effect of the lateral fissure and the lateral fissure insularapproach in the treatment of hypertensive basal ganglia was more significant than that in the patients with the cerebral hemorrhage.
Objective: To compare the therapeutic effect of the lateral fissure insular approach and the cerebral hemorrhage in the basal ganglia of hypertensive basal ganglia. Methods: 60 casesof hypertensive basal ganglia hemorrhage patients were randomly divided into observation group and control group, 30 cases in each group, the observation group underwent microscope through lateralfissure insula approach. In the control group underwent transcortical made fistula, compared two groups of hospitalization time, postoperative 48 h residual hematoma volume, 7d water swollen with volumeand GCS score. Results: In the observation group, the hospitalization time, postoperative 48 h residual hematoma volume, 7d edema volume and GCS score were significantly better than those in thecontrol group(P<0.05). Conclusion: Compared with the results of the treatment of the cerebral hemorrhage in hypertensive basal ganglia, the effect of the lateral fissure and the lateral fissure insularapproach in the treatment of hypertensive basal ganglia was more significant than that in the patients with the cerebral hemorrhage.
引文
[1]廖声潮,黄玮,余永佳,等.基底节区脑出血血肿周围组织病理变化观察[J].广西医科大学学报,2011,28(3):426-427.
[2]周新民,叶富华,顾昌伟.经外侧裂-岛叶入路显微外科治疗基底节区高血压脑出血[J].临床神经外科杂志,2014,11(3):227-228.
[3]石祥飞,张宗胜,王德勇.经外侧裂-岛叶入路显微手术治疗高血压脑出血的效果[J].中国实用神经疾病杂志,2015,13(19):115-116.
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[5]李宝东,王存祖,陈冬云,等.经外侧裂-岛叶与经皮质入路血肿清除术治疗高血压性基底节出血的比较[J].国际脑血管病杂志,2014,22(12):123-125.
[2]周新民,叶富华,顾昌伟.经外侧裂-岛叶入路显微外科治疗基底节区高血压脑出血[J].临床神经外科杂志,2014,11(3):227-228.
[3]石祥飞,张宗胜,王德勇.经外侧裂-岛叶入路显微手术治疗高血压脑出血的效果[J].中国实用神经疾病杂志,2015,13(19):115-116.
[4]贺仕清,廖勇仕,梁日初,等.经外侧裂-岛叶入路与经皮质造瘘术对基底核脑出血周围水肿带的影响[J].中国微侵袭神经外科杂志,2013,18(5):210-212.
[5]李宝东,王存祖,陈冬云,等.经外侧裂-岛叶与经皮质入路血肿清除术治疗高血压性基底节出血的比较[J].国际脑血管病杂志,2014,22(12):123-125.