[1]林 晖,吴光辉,刘美秋.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[J].中国临床神经外科杂志,2018,(10):659-661.[doi:10.13798/j.issn.1009-153X.2018.10.006]
 LIN Hui,WU Guang-hui,LIU Mei-qiu..Surgery through lower point of rolandic fissure approach for hypertensive cerebral hemorrhage in the basal ganglia of dominant hemisphere[J].,2018,(10):659-661.[doi:10.13798/j.issn.1009-153X.2018.10.006]
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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()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年10期
页码:
659-661
栏目:
论著
出版日期:
2018-10-25

文章信息/Info

Title:
Surgery through lower point of rolandic fissure approach for hypertensive cerebral hemorrhage in the basal ganglia of dominant hemisphere
文章编号:
1009-153X(2018)10-0659-03
作者:
林 晖吴光辉刘美秋
352100 福建,宁德市医院神经外科(林 晖、吴光辉、刘美秋)
Author(s):
LIN Hui WU Guang-hui LIU Mei-qiu.
Department of Neurosurgery, Ningde Municipal Hospital, Ningde 352100, China
关键词:
高血压性脑出血优势半球基底节区显微手术经中央沟下点入路颞中回入路
Keywords:
hypertensive cerebral hemorrhage Dominant hemisphere Basal ganglia Microsurgery Lower rolandic point
分类号:
R 743.34; R 651.1+2
DOI:
10.13798/j.issn.1009-153X.2018.10.006
文献标志码:
A
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。
Abstract:
Objective To explore the value of surgery through lower point of rolandic fissure approach to the treatment of hypertensive cerebral hemorrhage in the basal ganglia of dominant hemisphere. Methods Of 70 patients with hypertensive cerebral hemorrhage in the basal ganglia of dominant hemisphere treated in our department from 2016 to 2018, 35 (observed group) underwent the microsurgery through lower point of rolandic fissure approach. and 35 through gyri temporalis medium approach. The postoperative residual hematoma volume, degree of aphasia and GOS score were compared between the two groups. Results There were not significant difference in the postoperative residual hematoma volume between the two groups (P>0.05). The language competence 1 month after the operation 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 and prognoses in the patients with hypertensive cerebral hemorrhage in the basal ganglia of dominant hemisphere compared to the microsurgery through gyri temporalis medium approach.

参考文献/References:

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更新日期/Last Update: 2018-09-30