高血压基底节区脑出血实施经外侧裂入路的手术治疗

［摘要］目的　探讨研究高血压基底节区脑出血实施经外侧裂入路的外科治疗效果．方法　选取2012年10月至2015年6月西双版纳州人民医院收治的62例高血压基底节区脑出血患者为研究对象，将其随机分为对照组31例和观察组31例，对照组进行经颞叶皮层入路手术，观察组则进行经外侧裂入路手术，然后将2组患者中不同出血量者的血肿清除率及治疗前后的神经功能指标、ADL评分进行比较．结果　观察组中不同出血量者的血肿清除率均高于对照组，治疗后不同时间的血清神经功能指标均低于对照组，ADL评分构成也均好于对照组，差异有统计学意义（P＜0.05）．结论　高血压基底节区脑出血实施经外侧裂入路的临床效果较好，其对于血肿的清除及神经功能改善均有积极的改善作用，因此其在高血压基底节区脑出血患者中的应用价值相对更高．

Surgical Management of Sylvian Lateral Fissure Approach in the Treatment of Patients with Hypertensive Intracerebral Hemorrhage on Basal Ganglia

［Abstract］Objective　To study the surgical effect of sylvian lateral fissure approach in the treatment of patients with hypertensive intracerebral hemorrhage on basal ganglia. Methods　Sixty-two patients with hypertensive intracerebral hemorrhage on basal ganglia in our hospital from October 2012 to June 2015 were selected， and equally divided into control group and observation group. The control group was treated with temporal cortex approach surgery，and the observation group was treated with sylvian lateral fissure approach surgery. The hematoma clearance rates of different amount of bleeding，and nerve function indexes and ADL score before the treatment and at different time after the treatment of two groups were compared．Results　The hematoma clearance rates of observation group with different amount of bleeding were higher than those of control group. The serum nerve function indexes were lower than those of control group. The ADL scores were better than those of control group. The above differences were statistically significant（P＜0.05）. Conclusion　The clinical effect of sylvian lateral fissure approach in the treatment of patients with hypertensive intracerebral hemorrhage on basal ganglia is better. The approach has an active role in the improvement of the hematoma clearance and nerve function and greater value for the patients with hypertensive intracerebral hemorrhage on basal ganglia.