Efficacy of temporal cortical approach, fissure microsurgery and trepanation and drainage in the treatment of supratentorial hypertensive intracerebral hemorrhage

Abstract

Objective To study the efficacy and safety of temporal cortical approach, fissuremicrosurgery and trepanation and drainage in the treatment of supratentorial hypertensive intracerebral hemorrhage (SICH). Methods A total of 194 patients with SICH from May 2016 to May 2018 were chosen as research object. According to surgical procedures, the patients were divided into temporal lobe group (62 cases), lateral fissure group (47 cases) and trepanation group (85 cases). The perioperative indicators, short-term and long-term surgical effects and occurrence of postoperative complications were compared among the three groups. Results There were significant differences in the operative time, intraoperative blood loss and average hospital stay among the three groups (P 0.05). In addition, there was 1 case of death (1.61%) in temporal lobe group, and there was no death in lateral fissure group, and there were 3 cases of death (3.53%) in trepanation group, and there were no significant differences in the surgical effects among the three groups (P>0.05). The incidences of pulmonary infection and epilepsy in lateral fissure group were significantly lower than those in temporal lobe group (P 0.05). Conclusions Temporal cortical approach, fissure microsurgery and trepanation and drainage have good effects in the treatment of SICH. Fissure microsurgery has relatively small trauma, and it is beneficial to improving the short-term efficacy, reducing postoperative complications and promoting rehabilitation. Key words: Supratentorial hypertensive intracerebral hemorrhage; Temporal cortical approach; Fissure microsurgery; Trepanation and drainage; Efficacy; Safety