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《Hebei Medical Journal》 2009-05
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Clinical analysis for the therapeutic effect of micro-surgery with small bone flap via transsylvian fissure-insular approach on hypertensive hemorrhage of basal ganglia region in 36 patients

LIU Qiucheng,LEI Xue,HONG Wei,et al.Department of Neurosurgery,Huabei Oil General Hospital,Hebei,Renqiu 062552,China  
Objective To investigate the therapeutic effect and operation method of micro-surgery with small bone flap via transsylvian fissure-insular approach on hypertensive hemorrhage of basal ganglia region.Methods 36 patients with HBGH received the micro-surgery via transsylvian fissure-insular approach to remove the hematoma,and the therapeutic effects were compared with those of routine craniotomy via large bone flap in 34 patients.Results There was a significant difference in operation time,complications and awakening time after operation between the two groups(P0.05).The recovery rates(ADL Ⅰ~Ⅲ) in small bone flap treatment group were significantly higher than those of large bone flap treatment group(P0.05).There were no significant differences in clearance rate of hematoma and patients' mortality between two groups(P0.05).Conclusion Micro-surgery treatment via transsylvian fissure-insular approach for hypertensive hemorrhage of basal ganglia region is a kind of minimally invasive method with little injury,good exposure,complete hematoma removing,reliable stopping the blood flow,favorable recovery of neural function and low mortality.
【CateGory Index】: R651.1
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