不同手术入路治疗高血压基底节区脑出血的对比研究

Comparative Study of Different Surgical Approaches for Hypertensive Basal Ganglia Intracerebral Hemorrhage

目的总结高血压基底节区脑出血接受显微镜下不同手术入路进行手术治疗的方法以及效果对比。方法选取我院2016年1月—2017年1月接诊的高血压基底节区脑出血患者资料100例进行对比分析,对照组患者接受显微镜下经颞中回入路开颅血肿清除术进行治疗,研究组患者接受显微镜下经侧裂入路开颅血肿清除术治疗,比较其治疗效果。结果研究组患者的生存率高于对照组,两组比较差异有统计学意义(P<0.05)。结论临床中采取显微镜下经侧裂入路开颅血肿清除术治疗高血压基底节区脑出血效果显著。

Objective To summarize the methods and effects of different surgical approaches under microscope for hypertensive basal ganglia intracerebral hemorrhage. Methods From January 2016 to January 2017, 100 patients with hypertensive basal ganglia intracerebral hemorrhage in our hospital were compared and analyzed. The control group was treated with microscopically undergoing craniotomy and hematoma removal through the middle temporal approach. The study group was treated with a lateral fissure approach under the microscope for the removal of hematoma, and the results were compared. Results The survive rate of the patients in the study group was higher than that of the control group, and the difference between the two groups was statistically significant （P 〈 0.05）. Conclusion The treatment of hypertensive basal ganglia intracerebral hemorrhage in the treatment of hypertensive basal ganglia is remarkable.