Comparison between transsylvian-transinsular approach and transcortical approach for hematoma evacuation in hypertensive basal ganglia hemorrhage
10.3760/cma.j.issn.1673-4165.2014.12.004
- VernacularTitle:经外侧裂-岛叶与经皮质入路血肿清除术治疗高血压性基底节出血的比较
- Author:
Baodong LI
;
Cunzu WANG
;
Dongyun CHEN
;
Jie LI
;
Jianqin XIE
;
Qiao YIN
- Publication Type:Journal Article
- Keywords:
Cerebral Hemorrhage;
Hypertension;
Neurosurgical Procedures;
Treatment Outcome
- From:
International Journal of Cerebrovascular Diseases
2014;22(12):911-914
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of hematoma evacuation between transsylvian-transinsular approach and transcortical approach in hypertensive basal ganglia hemorrhage.Methods The patients with hypertensive basal ganglia hemorrhage who underwent hematoma evacuation via transsylviantransinsular approach and transcortical approach were enrolled retrospectively.Demographics and baseline data,as well as the outcome (the modified Rankin scale 0-3 as good outcome and ≥4 as poor outcome) and mortality at 3 months were compared in both groups.Results A total of 68 patients with hypertensive cerebral hemorrhage (40 cases via transsylvian-transinsular approach and 28 via transcortical approach) were enrolled.There were no significant differences in the demographics and baseline data between the two groups (all P＞ 0.05).The good outcome rates in the transsylvian-transinsular approach and transcortical approach at 3 months after surgery were 52.50％ (21/40) and 21.43％ (6/28),respectively.The former is significantly higher than the latter (x2 =6.642; P=0.01); the mortalities in the transsylvian-transinsular approach and transcortical approach were 2.50％ (1/40) and 21.43％ (6/28),respectively.The former is significantly lower than the latter (Fisher's exact test,P=0.017).Conclusions The clinical efficacy of hypertensive basal ganglia hemorrhage via transsylvian-transinsular approach is better than the transcortical approach.
