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目的:探讨经中央沟皮质与经侧裂手术入路治疗高血压基底节脑出血的疗效比较。方法:收集我科2013.1-2014.3高血压脑出血患者36例,分别予皮质入路、侧裂入路进行治疗,并对患者的血肿清除率、手术后3天再出血率、术后1月内死亡率、格拉斯哥预后评分(GOS)、术后1月的日常生活能力量表评分(ADL)等指标进行综合比较。结果:侧裂手术入路的血肿清除率、GOS预后评分、ADL有效率明显高于皮质入路。结论:侧裂手术入路对高血压脑出血具有较好疗效。“,”Purpose: To make a comparison for clinical efficacy between median groove and lateral cleft operative routes for treating hypertension-induced cerebral hemorrhage. Methods: a total of 36 cases patients of hypertension-induced cerebral hemorrhage were col ected from 2013.1 to 2014.3. Al of these patients were divided into two groups which named cortex group and lateral cleft group. The hematoma removal rate, rehaemorrhagia rate, death rate, GOS, ADL were col ected for statistical analysis. Results: lateral cleft group showed higher level in hematoma removal rate, GOS, ADL than that of in cortex group. Conclusion: Lateral cleft operative routes showed better clinical efficacy than cortex operative route for treating hypertension-induced cerebral hemorrhage.