关键词: 高血压脑出血, 显微外科, 翼点入路

Abstract: 【Abstract】〓Objective〓To investigate the effects of using microsurgery to treat hypertensive basal ganglia hematoma. Methods〓The clinical date of 23 patients underwent microsurgery treatment through pterional approach were retrospectively analyzed. Results〓The postoperative CT scan within 24 h showed that the hematomas of 21(91.3%) cases were removed for more than 90%. Within 6-36 months of follow-up period,the therapeutic effects of all patients were evaluated according to activities of daily living (ADL) categories, and grade I, grade Ⅱ, grade Ⅲ, grade IV and grade V were found in 8,9,3,2 and 1 patients,respectively. Conclusion〓Microsurgery treatment of hypertensive basal ganglia Hematoma through pterional approach approach had a high clearance rate of hematoma and better neurologic function recovery.

Key words: Hypertensive cerebral hemorrhage, Microsurgery, Pterional approach