Effect and prognosis analysis of hypertensive posterior basal ganglia intracerebral hemorrhage treated by the small bone window through the lateral fissure Rolandic point-insular lobe approach
QIAN Hongbo YIN Jun PAN Jie
Department of Neurosurgery, the First People’s Hospital of Anqing, Anhui Province, Anqing 246004, China
Abstract：Objective To study the effect and prognosis of hypertensive posterior basal ganglia intracerebral hemorrhage treated by the small bone window through the lateral fissure Rolandic point-insular lobe approach. Methods A total of 90 patients with hypertensive posterior basal ganglia intracerebral hemorrhage admitted to the Department of Neurosurgery, the First People’s Hospital of Anqing, Anhui Province from January 2016 to October 2019 were selected and divided into observation group and control group according to the random number table method, with 45 patients in each group. The observation group was hematoma removal by the small bone window through the lateral fissure Rolandic point-insular lobe approach, while the control group was hematoma removal by the traditional small bone window through the temporal cortical approach. The perioperative situation, the changes of the Glasgow coma score (GCS), Glasgow prognosis score (GOS) were compared between the two groups, and the postoperative complications were recorded. Results In the observation group, the postoperative automatic eye opening time was shorter than that in the control group, and the hematoma removal rate 24 h after the surgery was higher than that in the control group, with statistically significant differences (all P ＜ 0.05). The GCS at one week after surgery in both groups were increased compared with that before surgery, and the observation group was higher than that in the control group, with statistically significant differences (all P ＜ 0.05). Follow-up showed that the rate of good prognosis in the observation group was higher than that in the control group, and the difference was statistically significant (P < 0.05). The total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion The small bone window through the lateral fissure Rolandic point-insular lobe approach is well for hypertensive posterior basal ganglia intracerebral hemorrhage, which have the characteristics of high hematoma removal rate, fast postoperative recovery, less complications and so on, and have a good prognosis, it’s worth popularizing.
钱洪波 殷骏 潘捷. 小骨窗经侧裂下Rolandic点-岛叶入路手术治疗高血压性基底节区后部脑出血的效果及预后分析[J]. 中国医药导报, 2021, 18(2): 65-68.
QIAN Hongbo YIN Jun PAN Jie. Effect and prognosis analysis of hypertensive posterior basal ganglia intracerebral hemorrhage treated by the small bone window through the lateral fissure Rolandic point-insular lobe approach. 中国医药导报, 2021, 18(2): 65-68.
2021, Vol. 18 
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