Résumé
Objective To summarize the surgery skills of removing the insular lobe glioma and explore the curative effect of lateral cleft microsurgery in treating the hypertensive cerebral hemorrhage (HCH) via pterional approach. Methods The clinic data of 46 patients with gravis type HCH in the basal nuclei that accepted the lateral cleft microsurgery via pterional approach, were retrospectively analyzed. Results In all of these patients, 2 patients died and 44 survived (survival rate 95.7%);according to the ADL test, grade Ⅰ, grade Ⅱ, grade Ⅲ, grade Ⅳ and grade Ⅴ were found in 14, 16, 8, 6 and 2 patients, respectively. Conclusion This operation approach is an effective one, helping relieve the sharply high intracranial pressure and improving the patients' prognosis.
Résumé
Objective To probe the technical processes of the suboccipital retrosigmoidal craniotomy with replacement of bone flap and deep muscles incision and suture and its clinical application. Methods The data of 40 patients undergoing suboccipital craniotomy to the cerehello-pontine angle lesions, deep muscles incision and suture in our hospital from May, 2003 to May, 2005 were analyzed retrospectively. Results All the procedures of craniotomy including removal of the bone flap, deep muscles incision and suture were accomplished safely with an average operation time of 40-60 min. Two patients appeared post-operative subcutaneous hydrops without CSF leakage and the majority can move their head freely sixth day after the operation. Conclusion Suboccipital retrosigmoidal craniotomy with replacement of bone flap, and deep muscles incision and suture, being a safe and feasible method, may decrease the happening of postoperative CSF leakage and encephalocele, and accelerate the recover of head movement.