经侧裂－岛叶入路治疗高血压基底节区脑出血效果探讨.doc

精品论文 参考文献 经侧裂－岛叶入路治疗高血压基底节区脑出血效果探讨 袁致海　赵海康　任碧峰　荣　波 　　西安医学院第二附属医院神经外科　陕西　西安　７１００３８ 作者简介:袁致海,男,(１９７４．１１－),医学硕士,主治医师,研究方向:微创神经外科、颅底外科．脊柱脊髓疾病的外科治疗. 　　【摘要】　目的　探讨和研究在高血压基底节区脑出血患者的临床诊疗过程中采用经侧裂－岛叶入路手术的治疗效果.方法　随机抽取２０１２年１２月~２０１４年１２月期间,在我科进行手术治疗的７２例高血压基底节区脑出血患者.根据患者家属自愿原则将其划分为两组,对照组患者(３２例)采用常规脑皮层造瘘手术方法进行血肿清除治疗,观察组患者(４０例)采用经侧裂－岛叶入路手术进行手术血肿清除治疗,并就两组患者的临床治疗情况进行统计学分析.结果　临床比较显示,观察组患者的临床总有效率(９５．０％)以及术后并发症发生率(５．０％)均显著优于对照组患者(８１．２５％,１８．７５％),比较差异存在统计学意义(P＜０．０５).结论　对高血压基底节区脑出血患者实施经侧裂－岛叶入路术治疗,其临床疗效显著,术后并发症少,因而它是一种有效、安全、理想的临床手术方法. 【关键词】　经侧裂－岛叶入路术;　高血压基底节区脑出血;　临床疗效【Abstract】　objective:tostudyandresearchintheclinicaldiagnosisandtreatmentofpatientswithhypertensivebasalgangliahemorrhageintheprocessofuＧsingthesylvius－surgicaltreatmenteffectoftheinsula．Methods:randomlyinDecember２０１２toDecember２０１４,duringthesurgeryinourhospitalfortreatＧmentof７２patientswithhypertensivebasalgangliahemorrhage．Inaccordancewiththeprincipleofvoluntarypatientscanbedividedintotwogroups,controlgrouppatients(３２cases)withsurgicalmethodforclinicaltreatment,theobservationgroup(４０cases)patientsusingthesylvius－theinsulaapproachsurgeryclinicaltreatment,andthetwogroupsofpatientswithclinicaltreatmentforstatisticalanalysis．Results:theclinicalcomparisonshowedthattheclinicaltotalefＧfectiverateofobservationgrouppatients(９５．０％)andtheincidenceofpostoperativecomplications(５．０％)weresignificantlybetterthanthecontrolgroup(８１．２５％,１８．７５％),patientswithcomparativedifferencesarestatisticallysignificant(P＜０．０５)．Conclusion:inpatientswithhypertensivebasalgangliahemorrhageimplementthroughlateralfissureinsula－intotheroadtreatment,theclinicalcurativeeffectisdistinct,lesspostoperativecomplications,soitisaneffective,safea【nKdeyidweaolrdmse】thodofclinicalsurgery． 　Throughlateralfissureinsulaapproachsurgery;　Hypertensivebasalgangliahemorrhage;　Clinicalcurativeeffect 【中图分类号】R５４４．１ 【文献标识码】B 　　【文章编号】１００１－５３０２(２０１５)０９－０６３０－０２　　 　　高血压基底节区脑出血,是神经外科临床中一种常见性的出血性脑血管疾病[１].它属于非创伤性的脑实质内出血,其出血解剖部位多为丘脑、壳核, 该病具有病情重、病情发展快、全身并发症多以及较高死亡率和致残率,对患者的生命安全危害极大[２－３].本文随机选择我院神经外科