经侧裂-岛叶入路显微外科手术治疗基底节区高血压脑出血的疗效

The curative effect of lateral fissure-insular approach microsurgical method on treating patients with hypertensive cerebral hemorrhage in basal ganglia

目的分析经侧裂-岛叶入路显微外科手术治疗基底节区高血压脑出血的临床疗效。方法选取2008-02—2014-03我院收治的100例高血压基底节区脑出血患者,随机分为研究组和对照组各50例。对照组给予常规颞上回切开皮层治疗,研究组给予经侧裂-岛叶入路显微外科手术治疗,观察对比2组临床疗效、并发症发生情况。结果研究组临床疗效显著优于对照组,差异有统计学意义(P<0.05);研究组并发症发生率为8.0%,对照组为36.0%,研究组显著低于对照组,差异有统计学意义(P<0.05)。结论经侧裂-岛叶入路显微外科手术治疗基底节区高血压脑出血,临床疗效显著,损伤小,并发症发生率低,具有临床推广应用价值。

Objective To investigate the curative effect of lateral fissure-insular approach microsurgical method on treating patients with hypertensive cerebral hemorrhage in basal ganglia.Methods 100 patients with hypertensive cerebral hemorrhage in basal ganglia in our hospital from February 2008 to March 2014 were randomly divided into control group（n=50,treated with conventional superior temporal gyrus cutting cortex）and study group（n=50,treated with lateral fissure-insular approach microsurgical method）.The curative effect and complications of two groups were compared.Results The curative effect of study group was better than that of control group and the complication rate of study group（8.0%）was lower than that of control group（36.0%）,which had significantly statistical difference（P〈0.05）.Conclusion Lateral fissure-insular approach microsurgical method has better curative effect and lower complication rate on treating patients with hypertensive cerebral hemorrhage in basal ganglia,which is worthy of application.