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| Comparison of curative effect of hypertensive cerebral hemorrhage patients of different drainage treatment of large basal ganglia |
| HU Shi-jie, LV Chao, HU Xue-an,et al |
| Department of Neurosurgery, Xijing Hospital, Fourth Military Medical University,Xi'an 710032 Shannxi |
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Abstract 【Objective】To compare the clinical efficacy of ultra-early minimally invasive puncture drainage, posterior frontal approach for aspiration and drainage of basal ganglian hematomas and small bone window CT guided drilling drainage on patients with hypertensive cerebral hemorrhage in basal ganglia.【Methods】Ninety cases of hypertensive cerebral hemorrhage in our hospital from January 2015 to January 2016 were chosen, all objects were divided into three groups according to the random grouping principle: the group of ultra-early minimally invasive puncture drainage(Group A), the group of posterior frontal approach for aspiration and drainage of basal ganglian hematomas (Group B) and the group of small bone window CT guided drilling drainage (Group C), 30 cases for each. Postoperative hematoma absorption, neurological impairment score (NIHSS score), ability of daily life score (ADL score) and postoperative complications of the three groups of patients were analyzed and compared.【Results】The hematoma size of the Group A was significantly smaller than that of the Group B and the Group C, the difference was statistically significant (P<0.05); The total absorption time of hematoma in the Group A was significantly shorter than that in the Group B and the Group C, the difference was statistically significant (P<0.05); The NIHSS score of the Group A was significantly better than that of the Group B and the Group C, and the difference was statistically significant (P<0.05),and the ADL score was significantly better than that of the Group B and the Group C, the difference was statistically significant (P<0.05); The incidence of postoperative complications in the Group A was 3.33% (1/30), which was significantly lower than that in the Group B 30.0%(9/30) and the Group C 36.67%(11/30),the difference was statistically significant (P<0.05).【Conclusion】Ultra early minimally invasive surgery for cerebral hemorrhage in basal ganglia has obvious curative effect, rapid recovery and less adverse reactions, it is worth to be widely used in clinical practice.
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Received: 28 March 2016
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2016, Vol. 33 
