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Water Dissection Technique of Toth for the Treatment of Hypertensive Basal Ganglia Hematoma |
Affiliated Hospital of Qinghai University,Xi’ning 810001, China |
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Abstract Objective:To explore water dissection technique of Toth for the treatment of hypertensive basalganglia hematoma. Method:From June 2009 to December 2013, 42 patients with hypertensive basal ganglia hematomaunderwent surgery management via transsylvian fissure approach by water dissection technique of Toth, the therapeuticeffect of the management was analyzed retrospectively. Result:Postoperative CT showed that the total evacuation ofhematomas was reached in 28 patients, subtotal evacuation in 10 patients and greatly part in 4. 42 patients were followedup and evaluated by Glasgow outcome scale for at least 3 months. Among them, 14 patients showed good recovery, 12patients showed moderate disability, 7 patients showed severe disability, 2 patients died. Conclusion:It is safe, effectiveand minimally invasive for the treatment of hypertensive basal ganglia hematoma via transsylvian fissure approach by waterdissection technique of Toth.
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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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