Clinical Study on Minimally Invasive Treatment of Hypertensive Intracerebral Hemorrhage by Improved Stereotaxy Plus Intraoperative B-mode Ultrasonography
Abstract：【Objective】 To explore the clinical effect of CT modified stereotactic plus intraoperative B-ultrasonography precise localization and minimally invasive treatment of hypertensive intracerebral hemorrhage.【Methods】The clinical data of 82 patients with hypertensive intracerebral hemorrhage admitted to the Second People's Hospital of Shaanxi Province from June 2013 to February 2017 were retrospectively analyzed. According to the different treatment methods, they were divided into craniotomy group (routine craniotomy, n=40) and minimally invasive group (CT modified stereotactic + intraoperative B-ultrasonography precise positioning minimally invasive hematoma clearance treatment, n=42). The clinical efficacy, Glasgow Prognosis Scale (GOS), Coma Score (GCS), Neurological Deficiency (NIHSS), Barthel Index of Living Ability were compared between the two groups. The clearance of hematoma and the rate of rebleeding were recorded.【Results】There was no significant difference in operation time and hematoma clearance rate between the two groups (P>0.05); the amount of bleeding, hospitalization time and rebleeding rate in the minimally invasive group were lower than those in the craniotomy group (P<0.05). The effective rate of minimally invasive group was 83.33% (35/42) higher than that of craniotomy group (70.00% (28/40), and the difference was statistically significant (χ2= 5.543, P=0.028<0.05). The GOS score of the two groups was good, moderate disability, severe disability, plant survival and death. The minimally invasive group was better than the craniotomy group (Z=-0.344, P<0.05). After treatment, GCS score and Barthel index increased and NIHSS score decreased in both groups, and the minimally invasive group was better than the craniotomy group (P<0.05).【Conclusion】CT modified stereotactic plus intraoperative B-ultrasonography precise localization minimally invasive treatment of hypertensive intracerebral hemorrhage has better clinical efficacy, postoperative neurological function, life ability improvement, and can reduce the risk of re-bleeding, with less bleeding, short hospitalization time and other advantages.
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2019, Vol. 36 
