Contrast of lateral fissure and temporal approach hematoma evacuation for protecting the cerebral vascular in patients with basal ganglion hemorrhage

Objective To discuss the contrast of lateral fissure and temporal approach hematoma evacuation for protecting the cerebral vascular in patients with basal ganglion hemorrhage. Methods Sixty patients with basal ganglion hemorrhage admitted to the Neurosurgery Department of the Fangchenggang First People’s Hospital from January 2010 to December 2016 were selected. According to the approach, the patients were divided into lateral and temporal groups, 30 cases in each group. The lateral group was treated with hematoma clearance through lateral fissure approach, and the temporal group was treated with hematoma clearance through temporal approach. Hematoma clearance rate, endothelial function, complications, operation and prognosis were compared between the two groups. Results The hematoma clearance rate and GOS score of lateral group were significantly higher than those of temporal group, and the complication rate was significantly lower than that of temporal group (P 0.05); the level of serum endothelin (ET) in 2 groups was significantly lower than that before operation. However, the level of serum ET in the lateral approach group was significantly lower than that in the temporal approach group (P<0.05). Conclusion Hematoma removal through lateral fissure approach can effectively improve endothelial function and reduce complications in patients with basal ganglia hemorrhage. It is conducive to protecting cerebrovascular and improving short-term and long-term efficacy. It is worthy of further clinical promotion. Key words: Lateral fissure approach; Temporal approach; Hematoma evacuation; Basal ganglion hemorrhage; Cerebral vascular