Incision improvement of lateral fissure approach for hypertensive basal ganglia hematoma and its clinical efficaly analysis
10.3760/cma.j.issn.1671-8925.2013.04.018
- VernacularTitle:经外侧裂入路基底节区血肿清除术的切口改良探索及临床效果分析
- Author:
Chuan-Ping HUANG
1
;
Jian LIU
;
Xian-Bing WANG
;
Yu LIN
Author Information
1. 解放军第四二一医院神经外科
- Keywords:
Intracranial hematoma;
Basal ganglia;
Improved incision;
Neurosurgical procedure
- From:
Chinese Journal of Neuromedicine
2013;12(4):405-408
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss a modified U-shaped incision method for lateral fissure approach to operate hypertensive basal ganglia hemorrhage and its clinical significance.Methods Fifty-two patients,admitted to and performed removal of hypertensive basal ganglia hematomas via lateral fissure by using U modified incision and small bone craniotomy in our hospital from August 2007 to July 2012,were chosen in our study; the operating time from onset to operation was within 7 hours in 28 patients,between 7-24 h in 18 patients,and longer than 24 h in 6 patients.Results Twenty-four hours after the operation,head CT showed that complete evacuation of hematoma was achieved in 42 patients,hematoma residues smaller than 10 mL in 6 patients and larger than 10 mL in 4 patients.Serious pulmonary infection resulted in death in 6 patients within 7 days of operation.GOS 6 months after operation indicated that good recovery was noted in 28 patients,moderate disability in 11,severe disability in 3,vegetative state in 2 and death in 2.Conclusion A modified U-shaped incision for lateral fissure approach to operate hypertensive basal ganglia hemorrhage can improve the hematoma clearance rate and reduce the operating time.
