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高血压脑出血患者手术方法治疗的探讨 被引量:5

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摘要 目的:探讨高血压脑出血的最佳手术方法,减少死亡率和致残率。方法:96例高血压脑出血患者根据具体情况分别采取大骨瓣开颅血肿清除+去骨瓣减压术24例,小骨窗开颅血肿清除术40例,微创血肿穿刺引流术32例。结果:根据GOS评定,大骨瓣组Ⅳ~Ⅴ级10例,优良率42%,小骨窗组Ⅳ~Ⅴ级24例,优良率60%,微创组Ⅳ~Ⅴ级18例,优良率56%。结论:大骨瓣开颅血肿清除+去骨瓣减压、小骨窗开颅血肿清除术及微创血肿穿刺引流术各有优缺点,应根据不同情况采取适合的手术方法尽可能达到最佳治疗效果。
出处 《中外医学研究》 2013年第22期184-185,共2页 CHINESE AND FOREIGN MEDICAL RESEARCH
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  • 1许鹏,王艳菊.不同部位高血压性脑出血不同术式的探讨[J].中国微创外科杂志,2004,4(5):429-429. 被引量:28
  • 2朱宏伟,师蔚,杨永林,李向忠.外科治疗幕上高血压脑出血手术方式的选择[J].中国临床神经外科杂志,2005,10(4):284-285. 被引量:22
  • 3赵继宗,周定标,周良辅,王任直,王德江,王硕,袁葛,康帅,赵元立,季楠,叶迅.2464例高血压脑出血外科治疗多中心单盲研究[J].中华医学杂志,2005,85(32):2238-2242. 被引量:476
  • 4Lisk DR, Pasteur W, Rhoades H, et al . Early presentation of hemispheric intracerebral hemorrhage: prediction of out-come and guidelines for treatment allocation [J]. Neurology, 1993, 44: 133-139.
  • 5Ralper K, Osman T, Ibrahim Z, et al . The effects on prognosis of surgical treatment of hypertensive putaminal hema-tomas through transsylvian transinsular approach [J]. Surg Neurol, 2003, 59: 176-183.
  • 6Murthy JM, Chowdary GV, Murthy TV, et al. Decompressive craniectomy with clot evacuation in large hemispheric hypertensive intracerebral hemorrhage[J]. Neurocrit Care, 2005, 2(3): 258-262.
  • 7Lin SZ. Hypertensive intracerebral hemorrhage and brain edema[J].Zhonghua Yi Xue Za Zhi, 2002, 65(6): 239-240.
  • 8Tan SH, Ng PY, Yeo TT. Hypertensive basal ganglia hemorrhage: a prospective study comparing surgical and nonsurgical management[J]. Surg Neurol, 2001, 56(5): 287-292.
  • 9Maira G, Anile C, Colosimo C. Surgical treatment of primary supratentorial intracerebral hemorrhage in stuporous and comatose patients[J]. Neurol Res, 2002, 24(1): 54-60.
  • 10Xi Guohua, HuaYa, Bhasin R, et al. Mechanisms of edema formation after intracerebral hemorrhage: effects of extravasated red blood cells on blood flow and blood-brain barrier integrity [J].Stroke, 2001,32(12):2932-2938.

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  • 1桂松柏,张亚卓,李储忠.神经内镜手术初级培训方法教学实践[J].继续医学教育,2012,26(5):29-32. 被引量:10
  • 2赵继宗,周定标,周良辅,王任直,王德江,王硕,袁葛,康帅,赵元立,季楠,叶迅.2464例高血压脑出血外科治疗多中心单盲研究[J].中华医学杂志,2005,85(32):2238-2242. 被引量:476
  • 3成朋贵,胡国庆,许祥兆,顾明星.小骨窗开颅颅内血肿清除术治疗高血压脑出血58例[J].立体定向和功能性神经外科杂志,2006,19(3):176-177. 被引量:4
  • 4张亚卓,赵澎.神经内镜在中国的发展现状[J].中华神经外科杂志,2006,22(9):517-518. 被引量:9
  • 5White C L, Griffith S, Caron J L. Early progression of trau-matic cerebral contusions: characterization and risk factors[J].Trauma, 2009, 67(3): 508-514.
  • 6Alahmadi H, Vachhrajani S, Cusimano M D. The natural his-tory of brain contusion: an analysis of radiological and clini-cal progression[J]. Neurosurgery, 2010, 112(5): 1139-1145.
  • 7罗祖明,汪凯.脑血管疾病[M].神经病学.6版.北京:人民卫生出版社,2010:192.
  • 8Wu C H, Yang R L, Huang S Y, et al.Analysis of thrombin-antithrombin complex contents in plasma and hematoma fluid of hypertensive intracerebral hemorrhage patients after clot removal.[J].European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies, 2011, 18(8): 1060-1066.
  • 9Wu G, Wang L, Hong Z, et aLEffects of minimally invasive techniques for evacuation of hematoma in basal ganglia on cortical spinal tract from patients with spontaneous hemorrhage: observed by diffusion tensor imaging.[J].Neurological Research: An Interdisciplinary Quarterly Journal, 2010, 32(10): 1103-1109.
  • 10吴建东,惠国桢,钱苏荣,林荔清,王晨秋,王剑韧,王晨,殷光中.Toth水解剖技术在高血压壳核出血显微手术中的应用[J].苏州大学学报(医学版),2008,28(6):984-986. 被引量:4

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