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| Clinical Analysis of Small Bone Flap Craniotomy Combined with Lateral Fissure-insular Approach under the Microscope in the Treatment of Hypertensive Basal Ganglia Hemorrhage |
| Traditional Chinese Medicine Hospital of Tai’an City，Tai’an 271000，China |
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Abstract Objective：To investigate the operative key points and surgical treatment effect of small bone flap craniotomy combined with lateral fissure-insular approach under the microscope in the treatment of hypertensive basal ganglia hemorrhage. Method：48 patients with hypertensive basal ganglia hemorrhage admitted to our hospital from January 2011 to January 2014 were selected，at the early stage，they were given evacuation of hematoma treatment via small bone flap craniotomy combined with lateral fissure-insular approach under the microscope.Its clinical efficacy was analyzed.Result：The CT re-examination after postoperative immediately showed that the hematomas was removed all in 43 patients，over 80% in 5 patients，postoperative died in four patients. After 6 to 18 months follow-up，the GOS was good in 30 patients，mild disability in 10 patients，severe disability in 3 patients and 1 patient died.Conclusion：The treatment of hypertensive basal ganglia hemorrhage via a small bone flap craniotomy combined with lateral fissure-insular approach under the microscope has advantages such as minimal invasive，good exposure，comparatively complete hematomas removal，desirable effect stopping the blood flow，can effectively reduce intracranial pressure，while reducing the temporal lobe cortex and vascular injury，with low morbidity and mortality，is worth popularizing in the grassroots.
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WEI Xiaobing,WEN Yiqi,LI Sumei,HU Yongzhen,LIU Yang,LONG Qingshan,HUANG Chutao,LIU Xidi. Effects of Neuroendoscopic Translateral Fissure Approach Hematoma Evacuation on Inflammatory Factors, Prognosis, Serum MMP-9 and GM-CSF in Patients with Hypertensive Intracerebral Hemorrhage[J]. 中国医学创新, 2023, 20(8): 5-9. |
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