显微镜辅助超早期经侧裂入路清除高血压基底节区脑出血

the clinical effect analysis of microscope assisting super-early transsylvian approach in the treatment of patients with hypertensive basal ganglia hemorrhage

目的:对基底节区脑出血患者采用显微镜辅助超早期经侧裂入路的方式进行治疗,并探讨其临床治疗效果.方法:选取2013-11/2015-11贵州医科大学附属医院收治的140例基底节区脑出血患者作为研究对象.依据患者的治疗意愿将其分为观察组(n=70)与对照组(n=70),观察组采用显微镜辅助超早期经侧裂入路的治疗方式,对照组患者则采取内科保守治疗措施.对比两组患者的临床治疗效果.结果:观察组患者的治疗总有效率高达97.1%,对照组仅为72.9%,观察组明显优于对照组,差异具有统计学意义(P<0.05).结论:基底节区脑出血患者采用显微镜辅助超早期经侧裂入路的治疗措施可达到有效清除血肿的效果,提高了患者的生活质量,可积极推广.

AIM：To investigate the clinical effect of microscope assisting superearly stage transsylvian approach in the treatment of patients with hypertensive basal ganglia hemorrhage. METHODS： A total of 140 patients with basal ganglia hemorrhage admitted to Affiliated Hospital of Guizhou Medical University were selected as study objects and divided into observation group and control group according to the patientswill, with 70 cases in each group. Patients in observation group were treated by microscope assisting superearly stage transsylvian approach, while patients in the control group were treated by conservative treatment. The clinical effects of the two groups were compared. RESULTS：The total effective rate of the observation group was 97. 1% which was higher than 72.9% of the control group, with statistically significant difference （P〈0.05）. CONCLUSION： Microscope assisting superearly stage transsylvian approach can remove hematoma treatment on patients with basal ganglia hemorrhage effectively, improve the quality of life, and is worthy of clinical application.