经侧裂入路血肿清除术治疗高血压基底节区脑出血对照观察

Controlled observation of hematoma removal via lateral fissure approach for hypertensive cerebral hemorrhage in the basal ganglia

目的探讨经侧裂入路血肿清除术治疗高血压基底节区脑出血患者的临床疗效。方法将76例高血压基底节区脑出血患者按手术方案不同分为两组,每组38例。对照组行经颞部入路血肿清除术,研究组行经侧裂入路血肿清除术。比较两组手术时间、术中出血量、血肿清除率、血肿残余量、住院时间、术后并发症发生率、预后情况。结果研究组血肿清除率显著高于对照组(P<0.01),血肿残余量显著少于对照组(P<0.01),住院时间显著短于对照组(P<0.01),预后情况显著优于对照组(P<0.01)。两组并发症发生率比较差异无统计学意义(P>0.05)。结论经侧裂入路血肿清除术治疗高血压基底节区脑出血患者效果显著,能清除血肿,缩短康复时间,改善预后,安全性高。

Objective To explore the clinical efficacy of hematoma removal via lateral fissure approach for hypertensive cerebral hemorrhage in the basal ganglia.Methods A total of 76 patients with cerebral hemorrhage in the basal ganglia were divided into two groups according to different surgical plans,with 38 cases in each group.The control group underwent hematoma evacuation through the tempus approach,and the study group underwent hematoma evacuation through the lateral fissure approach.The operation time,intraoperative blood loss,hematoma clearance rate,residual hematoma,hospital stay,incidence of postoperative complications,and prognosis were compared between the two groups.Results The hematoma clearance rate of the study group was higher than that of the control group(P<0.01).The residual amount of hematoma was less than that of the control group(P<0.01),and the hospital stay was shorter than the control group(P<0.01).The prognosis of the study group was better than that of the control group(P<0.01).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions Hematoma removal via lateral fissure approach is effective in treating patients with hypertensive basal ganglia cerebral hemorrhage.It can remove hematoma,shorten recovery time,improve prognosis,and has high safety.