Microsurgical treatment of hypertensive cerebral hemorrhage in the basal ganglia region via transsylvian-transinsular approach assisted by non-distraction technique
Tian Hailong
Wang Yihua
He Wei
Jiang Bin
Huang Dezhang
Yin Xin
Wang Chaochao
Wang Zhigang
Abstract：Objective To investigate the clinical efficacy ofmicrosurgical treatment via transsylvian-transinsular approach assisted with non-distraction technology for hypertensive cerebral hemorrhage in the basal ganglia region.Methods Clinical data of 63 patients with intracerebral hemorrhage in the basal ganglia region were ananlyzed retrospectively.The microsurgery assisted by non-distraction was performed via transsylvian-transinsular approach on 34 patients as microsurgery group and temporal cortical fenestration for hematoma evacuation was performed on 29 patients as control group.The hematoma clearance rate,rebleeding rate 1 month after surgery,brain edema grade 1 week after surgery and follow-up results 6 months after surgery were compared between two groups.Results Compared with control group,residual hematoma was less,hematoma evacuation rate was higher and intracranial pressure 1 week after surgery was lower in the microsurgery group (P =0.02,0.04,0.01).There were no statistical difference in re-bleeding rate 1 month after surgery and mortality rates 6 months after surgery between the two groups (P =0.73,0.98).GOS and ADL scores 6 months after surgery were higher in microsurgery group than in control group (P=0.03,0.02).The shorter the onset-operation time,and the smaller the hematoma volume were,the higher the living quality 6 months after surgery in microsurgery group would be (P ＜ 0.05).Conclusion Transsylviantransinsular approach assisted by non-distraction technique for hypertensive cerebral hemorrhage in the basal ganglia region has smaller surgical injury,therefore,can protect neurological function and improve quality-of-life after surgery.
Keywords：intracranial hemorrhagehypertensiveapproachtranssylvian-transinsularnon-distraction technique
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 7-10 )