Small/medium intracerebral hematoma in the basal ganglia: a comparison study of minimally invasive surgical treatment assisted by stereotaxis technique and conservative treatment
10.3760/cma.j.cn115354-20210429-00274
- VernacularTitle:立体定向辅助微创血肿清除术与保守治疗在脑基底节区中、小量血肿治疗中的比较研究
- Author:
Xiaoqiang LIN
1
;
Zhenyang LIU
;
Jianping NIU
;
Shujuan ZENG
;
Doudou SHI
;
Haibo TONG
Author Information
1. 山西医科大学第三医院（山西白求恩医院 山西医学科学院 同济山西医院）神经外科，太原 030032
- Keywords:
Basal ganglia;
Cerebral hemorrhage;
Stereotactic navigation;
Neurological prognosis
- From:
Chinese Journal of Neuromedicine
2021;20(8):827-830
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the influences of minimally invasive hematoma removal assisted by stereotaxis technique and conservative treatment in clinical prognoses of patients with small/medium intracerebral hematoma in the basal ganglia.Methods:Sixty-four patients with spontaneous basal ganglia cerebral hemorrhage, admitted to our hospital from March 2020 to March 2021, were enrolled in our study; these patients were randomly divided into surgical group (accepted minimally invasive hematoma removal assisted by stereotaxis technique, n=33) and conservative treatment group ( n=31). The baseline general data and 6 months follow-up data of patients from the 2 groups were compared. The Glasgow outcome scale (GOS) scores, modified Barthel index (MBI), modified Rankin scale (mRS) scores and complications were compared 7 d, 1 month and 6 months after surgery. Results:There were no significant differences in gender, age, and amount of bleeding between the 2 groups ( P>0.05). On the 7 th d of surgery, there were no significant differences in GOS scores, MBI, and mRS scores between the 2 groups ( P>0.05). One month after surgery, there were statistically significant differences in GOS scores, MBI, and mRS scores between the 2 groups ( P<0.05); the good prognosis rate in the surgical group was 78.79% (26/33), and that in the conservative treatment group was 25.81%(8/31), with significant difference ( P<0.05). Six months after surgery, there were significant differences in GOS scores, MBI, and mRS scores between the 2 groups ( P<0.05); the good prognosis rate in the surgical group was 95.7% (29/33), and that in the conservative treatment group was 32.3% (10/31), with significant difference ( P<0.05). The incidence of complications in the surgical group and conservative treatment group was 6.06% and 29.03%, respectively, with significant difference ( P<0.05). Conclusion:Minimally invasive hematoma removal assisted by stereotaxis technique is more conducive to the repair of nerve function in patients with moderate to small cerebral hemorrhage in the basal ganglia than conservative treatment.
