论文部分内容阅读
目的评估显微侧裂入路手术对高血压基底节区脑出血的治疗效果。方法回顾性分析36例显微侧裂入路手术治疗的高血压基底节区脑出血患者的临床资料，采用日常生活活动能力(ADL)分级法对术后存活者进行评估。结果36例患者术后随访3个月~2年，结果死亡2例，死亡率5.55豫，存活34例；ADL分级法评估结果如下：I级10例，Ⅱ级16例，Ⅲ级5例，郁级2例，V级1例。结论经显微侧裂入路手术治疗基底节区高血压脑出血能有效清除血肿和止血，且术后神经功能恢复良好，证实其是一种损伤轻、疗效佳、预后好的微创治疗高血压基底节区脑出血的方法。“,”Objective To evaluate the therapeutic ef ect of micro lateral fissure approach road operation on hypertensive cerebral hemor hage in basal ganglia.Methods A retrospective analysis of the clinical data of 36 cases of microsurgical operation treatment of the lateral fissure approach for hypertensive basal ganglia intracerebral hemor hage patients, using the activity of daily living (ADL) assessment of postoperative survival of grading method.Results 36 patients were fol owed up for 3 months to 2 years, 2 cases died, the mortality rate was 5.55%, 34 cases survived;the evaluation result of ADL classification method are as fol ows: 10 cases of grade I, 16 cases of grade I , 5 cases of grade I I, 2 cases of grade IV, 1 cases of grade V.Conclusion The micro lateral fissure approach operation in the treatment of basal ganglia can ef ectively remove the hematoma in hypertensive cerebral hemor hage and bleeding, and postoperative neurological function recovered wel , that it is a method of minimal y invasive treatment of slight injury, good curative ef ect, good prognosis of hypertensive cerebral hemor hage in basal ganglia.