Observation of the Therapeutic Effect of Microscope-Assisted Lateral Fissure Approach Surgery in the Clinical Treatment of Patients with Hypertensive Intracerebral Hemorrhage
Objective To explore the effect of microscope-assisted lateral fissure approach surgery on patients with hypertensive intracerebral hemorrhage(HICH).Methods 86 patients with HICH admitted to the hospital from April 2021 to April 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 43 cases in each group.The control group underwent transtemporal cortex approach,and the observation group underwent microscopy-assisted translateral cleft approach.The operation was observed for 1 month after operation.The operation status,the level of neurofactors and the occurrence of complications were compared between the two groups.Results The operation time in the observation group was(83.25±4.49)min,shorter than(109.96±5.31)min in the control group,the clearance rate of hematoma was(91.25±3.63)%,higher than(80.42±2.57)% in the control group,the incidence of complications was 4.65%,lower than 18.60% in the control group,the differences between groups were statistically significant(P﹤0.05).After operation,neuron-specific enolase was(10.38±1.24)μg/mL,glial fibrillary acidic protein was(3.24±0.40)pg/mL,and S-100β protein was(0.08±0.01)ng/mL,they were lower than(13.21±1.59)μg/mL,(4.01±0.59)pg/mL,(0.21±0.03)ng/mL of the control group,and there were statistical significance between groups(P﹤0.05).Conclusion Microscopic assisted surgery through the lateral fissure approach can clear hematoma in HICH patients,reduce nerve factor levels,and have fewer complications.