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：

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我们的Transsylvian-Transinsular显微外科手术方法治疗高血压性肠壁血肿的经验

背景：关于治疗高血压脑血肿的手术方法有不同的报道。分析了我们通过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手术治疗的28例高血压性脑内血肿患者的临床资料。好结果。我们认为，它可以减压重要的深层神经结构，使它们减压，从而使皮层到血肿的距离更短；使进入出血的血管更容易进入，降低术后再出血率；并避免损害颞叶或额叶皮层。结论：建议采用Transsylvian-Insinular方法治疗高血压性肠壁血肿。