To compare the application effect of translateral fissure approach and transtemporal cortical approach in hypertensive basal ganglia hemorrhage
Liu Bo
Dai Dongqing
Teng Xiaohua
Duan Da
Pan Linxiang
Chen Jing
Abstract：Objective To compare and analyze the clinical value of the transtemporal cortical approach and the translateral fissure approach in the treatment of hypertensive basal ganglia hemorrhage(HBGH)and their impact on patients'condition and prognosis.Methods Eighty-four patients diagnosed with HBGH were randomly divided into two groups:Group A(42 cases,treated by the translateral fissure approach)and Group B(42 cases,treated by the transtemporal cortical approach).Surgical parameters,diffusion tensor imaging(DTI)parameters,Fugl-Meyer motor function assessment(FMA)scores,γ-Interferon(IFN-γ)levels,Mini-Mental State Examination(MMSE)scores,T cell immunoglobulin and mucin-containing molecule 3(TIM-3)levels,Medical Outcomes Study 36-Item Short-Form Health Survey(SF-36)scores,hematoma removal effects,and complication rates were compared.Results Prior to surgery,there were no statistically significant differences in TIM-3,FMA,fractional anisotropy(FA),MMSE,IFN-γ,and SF-36 scores between the two groups(P>0.05).Three months after operation,Group A showed lower TIM-3 and IFN-γ levels and higher FA,FMA,MMSE,and SF-36 scores compared to Group B(P<0.05).The operative indexes of Group A were superior to those of Group B,with a higher rate of effective hematoma removal(85.71%vs.66.67%)and a lower incidence of complications(9.52%vs.30.95%)(P<0.05).Conclusion The translateral fissure approach for hematoma removal is more effective and safer than the transtemporal cortical approach,which can promote the recovery of nerve and motor functions in patients,and reduce the risk of complications such as intracranial rebleeding.
Keywords：cerebral hemorrhagehypertensivebasal gangliahematoma removaltranslateral fissure approachtranstemporal cortical approach
Publication Date：2023-12-30
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 67-71 )