Original Article
Clinical observation on microscopic transsylvian approach surgery in treatment of hypertensive basal ganglia hemorrhage
Li Xueqian, Wang Kunpeng, Shi Chong, Xu Peng, Sun Youshu, Gu Shina
Published 2019-08-25
Cite as Chin J Pract Med, 2019,46(16): 58-60. DOI: 10.3760/cma.j.issn.1674-4756.2019.16.018
Abstract
ObjectiveTo investigate the effects of microscopic transsylvian approach surgery in treatment of hypertensive basal ganglia hemorrhage.
MethodsThe clinical data of 98 patients with hypertensive basal ganglia hemorrhage admitted in the 371st Hospital of Chinese People’s Liberation Army from January 2015 to October 2017 were retrospectively analyzed. According to the surgical approach methods, 50 patients with transsylvian approach surgery were included in study group, and 48 patients with transtemporal cortex approach surgery were included in control group. After postoperative 6-month follow-up, the surgical indexes, prognostic effects and incidence of complications were compared between the two groups.
ResultsThe clearance rate of hematoma in study group was higher than that in control group, the postoperative consciousness recovery time and operation time in study group were shorter than those in control group (P<0.05). The total excellent rate of prognosis in study group was higher than that in control group (P<0.05). The total incidence of complications in study group was lower than that in control group (P<0.05).
ConclusionsMicroscopic transsylvian approach surgery in treatment of hypertensive basal ganglia hemorrhage can increase the clearance rate of hematoma, decrease the incidence of complications, and improve prognostic effects of patients.
Key words:
Hypertensive basal ganglia hemorrhage; Microscopic; Transsylvian approach; Transtemporal cortex approach
Contributor Information
Li Xueqian
Department of Neurosurgery, the 371st Hospital of Chinese People’s Liberation Army, Xinxiang 453000, China
Wang Kunpeng
Department of Neurosurgery, the 371st Hospital of Chinese People’s Liberation Army, Xinxiang 453000, China
Shi Chong
Department of Neurosurgery, the 371st Hospital of Chinese People’s Liberation Army, Xinxiang 453000, China
Xu Peng
Department of Neurosurgery, the 371st Hospital of Chinese People’s Liberation Army, Xinxiang 453000, China
Sun Youshu
Department of Neurosurgery, the 371st Hospital of Chinese People’s Liberation Army, Xinxiang 453000, China
Gu Shina
Departemnt of General Medicine, the First Affiliated Hospital of Xinxiang Medical University, Weihui 453100, China
