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| Comparison between translower-rolandicpoint and transtemporal-cortex approaches for evacuation in hypertensive intracerebral hemorrhage |
| XIONG Zhang-sheng, JIANG Tai-peng |
| Guangzhou Medical University, Guangzhou 510006, China |
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Abstract Objective To compare the efficacy between translower- rolandicpoint（TR）and transtemporal cortex（TC）approach for hypertensive intracerebral hemorrhage（HICH）of posterior type of basal ganglia. Methods We retrospectively analyzed 64 craniotomy cases for evacuation in the poste⁃ rior type of basal ganglia hematoma of HICH from January 2012 to December 2014. They were divide in⁃ to two group of different approaches: 33 with TC and 31 with TR. We compared the situation among oper⁃ ating, complications and the prognosis which accorded to Glasgow Outcome score（GOS）in one month and Activities Daily Living（ADL）grading in six months. Results TC group had a lower hematoma clearance ratio than TR group. The number of cerebral edema occurred in the patients of TC group was higher than that in TR group 48 h and 72 h after surgery. TC group showed a higher ratio of epilepsy, vi⁃ sual field defect and aphasia than TR group. The differences were statistically significant（P＜0.05）. Ac⁃ cording to ADL grading, TR group got a better rehabilitation than TC group in 6 months. The difference was statistically significant（P＜0.05）. Two groups showed quite close mortality. Conclusion Using the translower-rolandicpoint approach for posterior type of basal ganglia hematoma will decrease the incidences of epilepsy, aphasia and vision deficiency. It can improve the postoperative living quality after stoke.
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Received: 10 April 2016
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Corresponding Authors:
JIANG Tai-peng, E-mail: 913047680@qq.com
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