Objective: To study the method and effects of clearing hematoma in basal ganglia region by lateral fissure approach. Method: A total of 98 cases of cerebral hematomas in basal ganglia region were divided into the observing group and the control group according to random sampling. Every group concluded 49 cases. The first group were treated with lateral fissure approach and the second by transcofical approach. The data of two groups were compared. Result: The faint ends time and the hematoma re-examination within 72 hours after operation showed that the observing group was superior, there was significant difference between two groups ( P＜0.05) ,and there was no postoperative rebleeding or death in the observing group. The evaluation result after operation shows that the watched group is also superior in activities of daily living (ADL) , there was significant difference between two groups(P＜0.05). Conclusion: The lateral fissure approach for cerebral hematomas in basal ganglia region is a minimal invasive method with better effects, which should be expanded in hospital.%目的:探讨经侧裂入路治疗基底节区高血压脑出血的方法以及效果.方法:将98例基底节区高血压脑出血患者随机分为对照组和观察组,每组各49例,其中对照组采取传统的经颞叶皮层切开手术清除血肿,观察组采取经侧裂入路显微手术清除血肿,进行两组的差异分析.结果:统计两组的术后昏迷结束时间以及术后三日复查血肿的清除程度,观察组明显优于对照组,两组差异具有显著性(P＜0.05),其中观察组无一例再出血病例和死亡病例；术后随访结果显示,观察组在日常活动生活质量标准(ADL)评价方面明显优于对照组,两组差异具有显著性(P＜0.05).结论:经侧裂入路治疗基底节区高血压脑出血是一种微创、效优的治疗方法,值得在临床上加以推广.
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