综上所述，高血压幕上脑叶出血在血肿清除术的基础上，实施留骨瓣减压术效果优于去骨瓣减压术。

    [参考文献]

    [1] 宋大勇，赵军，張宁.不同手术方式治疗老年早期基底节区高血压脑出血患者疗效及预后随访[J].中华老年医学杂志，2017，36(7)：742-745.

    [2] Walcott， Brian P.，Stapleton， Christopher J.，Koch， Matthew J，et al.Diffuse Patterns of Nonaneurysmal Subarachnoid Hemorrhage Originating from the Basal Cisterns Have Predictable Vasospasm Rates Similar to Aneurysmal Subarachnoid Hemorrhage[J].Journal of stroke and cerebrovascular diseases： The official journal of National Stroke Association ......