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| Short and Long-term Effect of Small Bone Window Through Lateral Fissure Island Approach in the treatment of Hypertensive Cerebral Hemorrhage Less than 6h |
| ZHANG Xiaofeng, YU Zhihu, ZHANG Mingwen, et al |
| Xiaolan Hospital Affiliated to Southern Medical University, Guangdong Zhongshan 528415, China |
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Abstract Objective: To observe the short-term and long-term effect of small bone window by the lateral fissure island approach for hypertensive intracerebral hemorrhage onset <6 h. Methods: 60 patients with basal ganglia hypertensive intracerebral hemorrhage were selected, and divided into the observation group and control group, 30 cases in both groups. The observation group was treated with small bone window through the lateral fissure island approach, and the control group was through the temporal lobe cortex. The hematoma removal, rebleeding rate, the GOS score at one month after surgery, the functional recovery (assessed by ADL scale)at one year after surgery were compared between two groups. Result: The success rate of hematoma evacuation in the observation group was 96.67%, which was significantly higher than 60.00% in the control group (P <0.05). The rebleeding rate was 13.33% in the control group and no recurrence in the observation group, the difference was not significant (P > 0.05). There was no significant difference in GOS prognosis between the two groups at one month after surgery (P > 0.05). The mortality rate of the observation group and the control group were both 3.33%, the difference was not statistically significant (P > 0.05). The proportion of ADL grade Ⅰ in the surviving patients of observation group was 48.28%, which was significantly higher than 24.14% in the control group (P < 0.05). Conclusion: The effect of the small bone window through the lateral fissure Island approach is better than that of the temporal cortex approach. The removal of hematoma is complete and the patient's long-term function is better.
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[1] 张荣军,王晓峰,唐宗椿,等.6374例高血压脑出血患者临床特点的分析及治疗方法的选择[J].中华神经医学杂志,2013,12(1):57~61.
[2] 黄怀忠,杜军,吕胜青,等.小骨窗经外侧裂入路显微手术治疗高血压基底节区脑出血[J].局解手术学杂志,2015,24(5):508~510.
[3] 魏胜程,王志刚,曲春城,等.小骨窗开颅显微手术治疗老年人高血压脑出血40例[J].中国老年学杂志,2013,33(18):4635~4636.
[4] 李克和,黄录茂,雍成明,等.小骨窗经外侧裂岛叶入路血肿清除术治疗高血压脑出血效果观察[J].重庆医学,2015,55(36):39~40.
[5] 张双,陈谦学.小骨窗联合侧裂-岛叶入路在中等量高血压脑出血治疗中的应用[J].广东医学,2013,34(3):389~391.
[6] 黎军,姜德华.超早期小骨窗经外侧裂岛叶入路显微手术治疗基底节脑出[J].临床神经外科杂志,2010,7(4):207~209. |
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2018, Vol. 24 
