Objective To analyze the efficacy of transsylvian -insular cortex microsurgery in the treatment of hypertensive basal ganglia hemorrhage. Methods Fifty -one patients with hypertensive basal ganglia hemorrhage admitted to and treated in the Third People's Hospital of Hechi City from September 2008 to September 2010 were given transsylvian-insular cortex microsurgery. Daily living ability (ADL), hematoma, death and other situation were compared between before and after the treatment. Results After the treatment, the ADL evaluation of patients significantly improved and the case numbers of degree IH and above increased from 29 cases to 45 cases. After the treatment, the hematoma was cleared significantly, with a clearance rate of 93.5%. A total of 15 cases of complications appeared after the treatment, including 6 cases of pulmonary infection, 8 cases of urinary tract infection and 1 case of heart change (arrhythmia). All the patients survived, with a survival rate of 100.0%. Conclusion Transsylvian-insular cortex microsurgery has favorable clearance effect on hypertensive basal ganglia hemorrhage, can protect brain tissue and can avoid neurological disorders, thereby worthy of clinical promotion.%目的 分析经侧裂-岛叶显微手术治疗高血压基底节区脑出血的疗效.方法 选取广西壮族自治区河池市第三人民医院2008年9月~2010年9月收治的高血压基底节区脑出血患者51例,进行经侧裂-岛叶显微手术治疗,对比治疗前后日常生活能力(ADL)、血肿情况及病死情况等,探讨该疗法的疗效.结果治疗后患者ALD评价明显改善,Ⅲ级及以下由治疗前的29例升至45例;治疗后血肿明显清除,清除率达93.5%;术后共出现15例并发症:肺部感染6例,泌尿系统感染8例,心脏改变(心律失常)1例;患者全部存活,存活率为100.0%.结论 经侧裂-岛叶显微手术对高血压基底节区脑出血的血肿有良好的清除效果,并能保护脑部组织,避免神经障碍的发生,值得临床广泛推广.
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