Comparison of the Effects of Via the Lateral Fissure Approach and Via the Temporal Lobe Cortical Approach under the Microscope on Hematoma Clearance Rate and Prognosis in Patients with Hypertensive Basal Ganglia Intracerebral Hemorrhage
Objective Exploring the effects of via the lateral fissure approach and via the temporal lobe cortical approache under the microscope on patients with hypertensive basal ganglia intracerebral hemorrhage.Methods A total of 112 patients with hypertensive basal ganglia intracerebral hemorrhage admitted to the Shandong Provincial Public Health Clinical Center from December 2021 to October 2023 were selected as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 56 cases in each group.The control group underwent surgery via the temporal lobe cortical approach,while the observation group underwent surgery via the lateral fissure approach.Compare the perioperative status,hematoma clearance rate,neurological function,prognosis score,quality of life,and complications between two groups.Results Comparison of surgical time between two groups,the difference was not statistically significant(P>0.05);the observation group had automatic eye opening time after surgery was shorter than that of the control group,the brain edema volume at 7 days after surgery was smaller than that of the control group,and the hematoma clearance rate was higher than that of the control group,the differences between groups were statistically significant(P<0.05).One month after surgery,the observation group had National Institutes of Health Stroke Scale scores was lower than the control group,and Glasgow Outcome Scale scores was higher than the control group,the differences between groups were statistically significant(P<0.05).Three months after surgery,the observation group had higher scores in all dimensions of the World Health Organization Quality of Life-Brief Version than the control group,the differences between groups were statistically significant(P<0.05).The incidence of complications in the observation group was 3.57%,which was lower than the 14.29%in the control group,the difference was statistically significant(P<0.05).Conclusion The surgical treatment of hypertensive basal ganglia intracerebral hemorrhage via the lateral fissure approach under a microscope is more effective,which can accelerate hematoma clearance,improve patients'neurological function and prognosis,and have fewer complications,which is beneficial for improving postoperative quality of life.
HypertensiveBasal ganglia intracerebral hemorrhageVia the lateral fissure approachVia the temporal lobe cortical approacheHematoma clearance rate
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