Objective: To be implemented by the lateral fissure approach microsurgical treatment for hypertensive intracerebral hemorrhage, so as to improve the clinical efficacy and quality of life. Method: 108 cases of microsurgical methods to be by the side of the split with hypertensive cerebral hemorrhage were selected as a test group for comparative study, at the same time selected 105 cases to be small bone window craniotomy hypertensive intracerebral hemorrhage (control group); effect of two surgical methods of treatment , the incidence of complications and quality of life in patients with be observed and the processing and analysis of the statistical data. Result: The recovery of the test group was 107 cases, accounting for 99. 07% , in 1 case of severe disability, accounting for 0. 93% ; recovery of the control group, 68 cases, accounting for 64.76% , severe disability in 33 cases, accounting for 31.43% ; recovery rate, severe disabili-tyrate, respectively, compared with P<0.05; experimental group patients with complications of 3. 70% in the control group to 16. 19% , both compared with P<0.05 ; patient survival test group quality score better than the control group, P<0.05. Conclusion: The lateral fissure approach given the microscopic surgical treatment of hypertensive intracerebral hemorrhage effect is significant, safe and reliable, it is an effective surgical methods.%目的:通过经侧裂入路方式实施显微手术治疗高血压脑出血,从而达到提高临床疗效和生存质量的目的.方法:选取108例高血压脑出血患者予以经侧裂显微手术方法且作为试验组,同时再选取105例予以小骨窗开颅手术的高血压脑出患血者作对比研究(即对照组);对两组手术方法的治疗效果、并发症发生率和患者生存质量予以观察且对所统计数据进行处理分析.结果:试验组恢复者107例、占99.07%,重残者1例、占0.93%;对照组恢复者68例、占64.76%,重残33例、占31.43%;恢复率、重残率分别相比P<0.05;试验组患者并发症3.70%、对照组16.19%,二者相比P<0.05;试验组患者生存质量评分好于对照组P<0.05.结论:经侧裂入路予以显微手术治疗高血压脑出血效果显著且安全可靠,是一种行之有效的手术方法.
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