Zixiong Huang#, Donghai Men#, Heng Lin, Jie Li, Yanqing Yin, Yuansheng Liang, Zhuangbin Liao, Qi Fang*
Affiliated Hospital of Guangdong Medical University, Zhanjiang 524001, PR China
Purpose: This study explores the clinical effect of microscopical operation using the lateral fissure approach on hypertensive intracerebral haemorrhage, formulating and analysing intervention methods.
Method: The study considered 96 patients with hypertensive cerebral haemorrhage admitted to the study hospital between June 2017 and June 2019. Based on admission time, these subjects were divided into an observation group (51 cases) and a control group (45 cases). The control group underwent conventional skull opening operation; the observation group underwent microscopical operation using the lateral fissure approach. The two groups were compared in terms of clinical treatment effectiveness, adverse reactions, cognitive function evaluation, hematoma clearance rate, brain oedema volume and GCS score.
Results: Compared to the control group, the observation group demonstrated significantly improved clinical treatment effectiveness, significantly reduced incidence of adverse reactions, significantly positive evaluation of postoperative cognitive function, an above-90% clearance rate of postoperative hematoma, better brain oedema volume and GCS scores than those in the control group and higher patient satisfaction. All differences were statistically significant (P<0.05).
Conclusion: For patients with hypertensive intracerebral haemorrhage, microscopical operation using the lateral fissure approach can improve surgical treatment effectiveness, reduce adverse reactions, improve postoperative cognitive function, enhance prognosis and rehabilitation effectiveness and improve the satisfaction of patients.
Hypertensive intracerebral haemorrhage, microsurgery, trans sylvian approach.