BACKGROUND There are different reports about operative methods for the treatment of hypertensive intracerebral hematomas. Our experience of transsylvian-transinsular microsurgical approach to hypertensive putaminal hematomas was analyzed. METHODS A retrospective analysis was performed on 28 consecutive patients with hypertensive intracerebral hematomas who underwent surgical treatment at the Department of Neurosurgery, Renji Hospital, from January 2004 to December 2007. RESULTS The transsylvian-transinsular approach to evacuate the hypertensive putaminal hematoma gains a good result. We believe it allows decompression of important deep-seated neurostructures with a more suitable angle and shorter distance from the cortex to the hematoma; allows easier access to vessels responsible for the bleeding, reducing the rate of rebleeding postoperatively; and avoids damage to the temporal or frontal cortex. CONCLUSIONS Transsylvian-transinsular approach for hypertensive putaminal hematoma is advocated.

中文翻译：

---

我们的经颅静脉穿刺显微手术方法治疗高血压性肠壁血肿的经验。

背景技术关于治疗高血压性脑血肿的手术方法有不同的报道。分析了我们的经Sylvian-Transinsular显微外科手术方法治疗高血压性肠壁血肿的经验。方法回顾性分析2004年1月至2007年12月在仁济医院神经外科接受外科手术治疗的28例高血压性脑血肿患者的临床资料。 。我们认为，它可以减压重要的深层神经结构，使它们减压，而皮层与血肿的距离更短。使进入出血的血管更容易，减少术后再出血的比率；并避免损害颞叶或额叶皮层。结论提倡经椎管穿刺入路治疗高血压性肠壁血肿。