临床医学研究与实践2023年10月第8卷第30期ClinicaleffectsoftranssylviantransinsularapproachandtranstemporalinsularapproachinthetreatmentofhypertensivecerebralhemorrhageLIFeng1,GAOKe2(1.TongchuanMiningBureauCentralHospital,Tongchuan727000;2.theFirstAffiliatedHospitalofXi'anJiaotongUniversity,Xi'an710061,China)ABSTRACT:ObjectiveToanalyzetheclinicaleffectsoftranssylviantransinsularapproachandtranstemporalinsularapproachinthetreatmentofhypertensivecerebralhemorrhage.MethodsAtotalof136patientswithhypertensivecerebralhemorrhagewhounderwentsurgicaltreatmentfromOctober2017toJune2020wereselectedanddividedintocontrolgroupandstudygroupbyrandomnumbertablemethod,with68casesineachgroup.Thecontrolgroupwasgivensurgicaltreatmentthroughthetranstemporalinsularapproach,andthestudygroupwasgivensurgicaltreatmentthroughthetranssylviantransinsularapproach.Thetherapeuticeffectsofthetwogroupswerecompared.ResultsTheoperationtimeofthestudygroupwassignificantlylongerthanthatofthecontrolgroup,theintraoperativehematomaclearanceratewassignificantlyhigherthanthatofthecontrolgroup,thecerebraledemavolumeat7dafteroperationwassmallerthanthatofthecontrolgroup,andthehospitalizationtimewasshorterthanthatofthecontrolgroup(P<0.05).At7and14dafteroperation,theGlasgowComaScale(GCS)scoreofthestudygroupwashigherthanthatofthecontrolgroup(P<0.05).At3and6monthsafteroperation,theActivityofDailyLivingScale(ADL)scoreofthestudygroupwashigherthanthatofthecontrolgroup(P<0.05).At7and14dafteroperation,thelevelsofS100Bproteinandneuronspecificenolase(NSE)inthestudygroupwerelowerthanthoseinthecontrolgroup(P<0.05).Thetotalincidenceofcomplicationsinthestudygroupwassignificantlylowerthanthatinthecontrolgroup(P<0.05).ConclusionTheoperationmethodoftranssylviantransinsularapproachcaneffectivelyshortenthehospitalizationtimeofpatientswithhypertensivecerebralhemorrhage,helptorestoredailylivingability,andimproveGCSscoreandhematomaclearancerate.Atthesametime,italsohastheadvantagesofreducingthevolumeofpostoperativecerebraledema,neuronald...
