Abstract:

Objective To investigate clinical effect of surgical treatment through lateral fissure approach on hypertensive intracerebral hemorrhage in basal ganglia.

Methods Eighty two patients with hypertensive intracerebral hemorrhage in basal ganglia who were treated at the Second Affiliated Hospital of Shenyang Medical College from October 2014 to June 2018 were randomly divided into two groups，with 40 patients in the control group and 42 patients in the observation group.Patients in the observation group were treated with a surgery through lateral fissure approach，and patients in the control group were given a surgery through the cortex of temporal lobe.The surgery time， the degree of hematoma clearance，Glasgow Coma Scale（GCS）， postoperative cerebral edema，complications and daily living ability scale（ADL）were compared between the two groups.

Results The surgery time of the observation group was slightly longer than that of the control group，but the difference was not statistically significant（P＞0.05）.The degree of hematoma clearance was better in the observation group（P<0.05）.After treatment，the GCS scores of the two groups were significantly different within 7 days（P<0.05）.The degree of cerebral edema of the observation group was significantly lighter than that of the control group at 3 days，5 days，and 7 days after surgery（P<0.05）.The postoperative complication rate was 45.24%（19/42）in the observation group，which was significantly lower than that in the control group（67.5%，27/40）（P<0.05）.The ADL scores of the observation group were significantly higher than the control group at 30 days，90 days and 120 days after surgery（P<0.05）.

Conclusion A surgery through lateral fissure approach for the treatment of hypertensive intracerebral hemorrhage in basal ganglia，is associated with slightly longer surgery time，better effect of hematoma clearance，slighter postoperative cerebral edema，fewer postoperative complications，and better functional recovery，is worthy of clinical promotion.

Key words: lateral fissure approach, hypertensive intracerebral hemorrhage in basal ganglia, postoperative living ability