[摘要] 目的：探讨原发性高血压脑室铸型出血的治疗方法。方法：采用单额开颅皮层入路治疗34例原发性高血压脑室铸型出血患者。结果：术后3个月随访，格拉斯哥预后评分(GOS)5分9 例，4分7例，3分8例，2分4例，1分6例。结论：单额开颅皮层入路是治疗高血压性原发脑室出血有效办法。

    [关键词] 经额皮层入路；高血压脑出血；原发性脑室出血；脑室铸型

    [中图分类号] R651.1 [文献标识码] B [文章编号] 1673-7210(2011)11(b)-177-02

    Surgical treatment for primary hypertensive intraventricular hemorrhage cast via frontal transcortical approach

    DING Xiaoming

    Department of Neurosurgery, the First Hospital of Huairou District, Beijing 101400, China

    [Abstract] Objective: To expore the techniques of surgical treatment for primary hypertensive intraventricular hemorrhage cast via frontal transcortical approach. Methods: The clinical data of 34 patients treated by frontal transcortical approach for primary hypertensive intraventricular hemorrhage cast were assessed accorting to the Glasgow Outcome Scale (GOS) after 3 months of follow-up. Results: 9 patients had GOS grade 5, 7 patients had GOS grade 4, 8 patients had GOS grade 3, 4 patients had GOS grade 2, 6 patients had GOS grade 1. Conclusion: Frontal transcortical approach is effective in treating primary hypertensive intraventricular hemorrhage cast. ......