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rn目的探讨术中B超辅助下侧裂-岛叶入路手术治疗基底节脑出血的效果。方法需开颅清除血肿的高血压脑基底节区出血患者86例,行侧裂-岛叶入路开颅清除血肿。随机分为两组:A组41例,术中加用B超辅助;B组45例,术中不使用B超。比较两组临床疗效。结果 A组血肿清除率92.5%,明显高于B组的78.3%(P“,”Objective To summarize the outcomes of surgical treatment of hypertensive cerebral hemorrhage via transsylvian fissure insular approach assisted by intraoperative ultrasound.Methods Eighty-six patients with hypertensive intracerebral basal ganglia hematomas underwent surgical clearance of hematoma via transsylvian fissure insular approach,who were randomized into two groups of A(41 cases,assisted by intraoperative ultrasound) and B(45 cases,without assistance of ultrasound).The outcomes of surgical treatment were compared between two groups.Results The clearance rate was higher in group A than that in group B(92.5% vs.78.3%)(P<0.05).ConclusionThe clearance rate can be improved by assistance of intraoperative ultrasound in treating hypertensive cerebral hemorrhage.