Abstract：Objective To explore the therapeutic effects on cerebral hematomas in basal ganglia region via transsylvian fissure or cortical sulci in order to reduce the postoperative complications of the patient with cerebral hemorrhage. Methods To study the anatomy of transsylvian fissure and partial cortical sulci in frontal lobe and temporal lobe by using the heads of dead bodies. The clinical data of 14 patients with hypertensive basal ganglia hemorrhage treated via lateral fissure, 21 patients with hypertensive basal ganglia hemorrhage treated via brain fold fissure approach and 38 patients with hypertensive basal ganglia hemorrhage treated via cortex were analyzed retrospectively. Results There was no difference in prognosis between the group via lateral fissure approach and the group via brain fold fissure approach(P＞0.05). However,these two groups were different with the group via cortex in prognosis(all P values＜0.05). Clearing intracerebral hematomas in basal ganglia region via fissure or cortical sulci-insular could occupy shorter operating time, get higher clearance rate of hematomas, gain better postoperative recovery, get lower occurrence rate of anepia and epilepsy after operation than through cortex. Conclusions It is feasible to treat intracerebral hematomas in basal ganglia region via transsylvian fissure or cortical sulci near lateral fissure which is the natural fissure in the brain. And it can treat cerebral hematomas in basal ganglia region effectively without heavy damage of normal brain tissue and can get satisfactory therapeutic efficacy.
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Mendelow AD, Gregson BA, Fernandes HM, et al. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomised trial[J]. Lancet, 2005, 365(9457): 387-397.
2014, Vol. 19 
