Abstract：Objective To explore the effect of microscopic surgery for HICH under different approaches. Methods 92 patients with HICH were randomly divided into control group（n=46,treated with transtemporal cortex microscopic hematoma removal）and observation group（n=46,treated with microscopic cerebral hematoma removal via lateral fissure approach）.The operation conditions（operation time,postoperative awake time,intraoperative blood loss）were compared between the two groups,the hematoma clearance rate between the two groups was compared,and the brain tissue injury related indexes（S100β,NSE,IL-6）were compared before and 7 days after the operation.The state of consciousness and rehabilitation（GCS,CRS-R）and the incidence of complications in the two groups14 days after operation were compared. Results The operation time and postoperative wake-up time of the observation group were significantly shorter than those of the control group（P<0.05）,the intraoperative blood loss in the observation group was significantly lower than that of the control group（P<0.05）,and the hematoma clearance rate in the observation group was significantly higher than that of the control group（P<0.05）.At 7 days postoperatively,the S100β,NSE,and IL-6 of the two groups were significantly reduced,and the observation group was significantly lower than that of the control group（P<0.05）,the GCS and CRS-R scores of the two groups were significantly higher than those before the operation,and the observation group was significantly higher than the control group（P<0.05）.At 14 days postoperatively,there was no significant difference in the incidence of complications between the two groups（P>0.05）. Conclusion Transfission approach microscopy surgery has a significant effect in the treatment of HICH.Compared with traditional percutaneous approach surgery,it has more advantages in hematoma removal,and the operation method is simple,causing less brain tissue damage to the patient,which is more conducive to the prognosis and recovery of the patient.
祖向阳. 不同入路方式下显微镜手术治疗基底节区脑出血的效果比较[J]. 哈尔滨医药, 2022, 42(1): 28-30.
Zu Xiangyang. Comparison of the Effect of Microscopic Surgery on HICH Under Different Approaches. journal1, 2022, 42(1): 28-30.
2022, Vol. 42 
