Clinical Study of Microscopical Operation through Lateral Fissure Approach for Hypertensive Intracerebral Hemorrhage

  • Wenfeng Pang
Keywords: Hypertensive Intracerebral Hemorrhage, Microsurgery, Trans Sylvian Island Leaf Approach


To explore the clinical effect of microsurgery via the side fissure insular approach on hypertensive intracerebral
hemorrhage, and to formulate and analyze the intervention methods. 120 patients with hypertensive cerebral
hemorrhage admitted to our hospital from June 2017 to June 2019 were selected as the research objects.
According to the sequence of admission, they were divided into observation group and control group, 60 cases
in each group. The control group underwent conventional skull opening operation. In the observation group,
microscopically, the operation was performed through the lateral fissure insular approach. The results of clinical
treatment, adverse reactions, cognitive function evaluation, hematoma clearance rate, brain edema volume and
GCS score were compared between the two groups. Compared with the control group, the effective rate of
clinical treatment in the observation group was significantly improved, the incidence of adverse reactions was
significantly reduced, the evaluation of postoperative cognitive function was significantly good, the clearance
rate of postoperative hematoma in the observation group was more than 90%, the volume of brain edema and
GCS scores were better than those in the control group, the patients' satisfaction was high, the difference was
statistically significant (P < 0.05). For patients with hypertensive intracerebral hemorrhage, the operation
through sylvian insular approach can effectively improve the effect of operation, improve the effect of operation,
reduce the occurrence of adverse reactions, improve the cognitive function, enhance the effect of prognosis and
rehabilitation, and improve the satisfaction of patients.