| 显微手术外侧裂入路治疗高血压丘脑出血 |
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| 引用本文： | 张万宏,付志新,李延翠,郑光明,张文学,郑占强,吕然博,张建平,王景波,李国建.显微手术外侧裂入路治疗高血压丘脑出血[J].中国实用神经疾病杂志,2009,12(7). |
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| 作者姓名： | 张万宏 付志新 李延翠 郑光明 张文学 郑占强 吕然博 张建平 王景波 李国建 |
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| 作者单位： | 1. 河南大学附属人民医院,开封,475000
2. 河南开封市脑科医院,开封,475000 |
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| 基金项目： | 开封市科技发展计划项目 |
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| 摘 要： | 目的 观察显微手术外侧裂入路显微手术治疗高血压性丘脑出血的疗效.方法 对36例高血压性丘脑出血采用经外侧裂入路小骨窗开颅或去骨瓣减压开颅,显微镜下清除血肿.结果 全部病例血肿清除满意,术后24h内复查了解血肿清除情况,23例血肿清除100%, 6例血肿清除90%以上,7例血肿清除80%以上.结论 外侧裂入路显微手术创伤小,止血可靠,能有效降低颅内压,是治疗高血压性基底节区出血的有效手术方式之一.
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| 关 键 词： | 高血压丘脑出血 外侧裂入路 显微手术 |
Microsurgical treatment via lateral fissure approach for hypertensive thalamic hemorrhage |
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| Zhang Wanhong,Fu Zhixin,Li Yancui,et al..Microsurgical treatment via lateral fissure approach for hypertensive thalamic hemorrhage[J].Chinese Journal of Practical Neruous Diseases,2009,12(7). |
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| Authors: | Zhang Wanhong Fu Zhixin Li Yancui |
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| Affiliation: | Zhang Wanhong,Fu Zhixin,Li Yancui,et al.Department of Neurosurgery,Affiliated People's Hospital,Henan University,Kaifeng 475000,China |
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| Abstract: | Objective To study the clinical effect of microsurgery via lateral fissure treating hypertensive thalamic hemorrhage,and summarize the clinical experience.Methods Craniotomy with small bone flap via lateral fissure or/and decompressive craniectomy were applied to evacuate hematoma originating from hypertensive thalamic hemorrhage,36 cases were analyzed retrospectively.Results The effect of this method was satisfactory.Total evacuation was achieved in 23 cases(93.9%),hematoma was removed over 90% in 6 cases ... |
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| Keywords: | Hypertensive thalamic hemorrhage Lateral fissure approach Microsurgery |
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