Surgery treatment of hypertensive intracerebral hemorrhage in basal ganglia under direct vision by small bone window craniotomy approach assisted by the deep cold light suction
- VernacularTitle:冷光源吸引器辅助下小骨窗开颅血肿清除术治疗基底节区高血压脑出血的临床研究
- Author:
Zhi LIU
1
;
Jun HE
;
Qifu REN
;
Fangping LI
;
Huxiang LAN
;
Maoyuan TANG
;
Minruo CHEN
Author Information
1. 重庆市渝北区人民医院神经外科
- Keywords:
Hypertensive intracerebral hemorrhage;
In basal ganglia lateral fissure-brain island approach;
Small bone window craniotomy;
Deep cold light suction
- From:
China Modern Doctor
2015;(11):48-51
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical results and surgical method in treatment of hypertensive intracerebral hemorrhage in basal ganglia. Methods From January 2007 to June 2013, the use of surgery treatment of hypertensive intracerebral hemorrhage in basal ganglia under direct vision assisted by the deep cold light suction in 104 cases,all the cases were done through lateral fissure-brain island approach,removing the hematoma with bipolar coagulation and hemostasis at sametime. This paper analyzed the group of patients with surgical methods and clinical efficacy. Results CT scan of intreatment group showed that there were 6 cases of secondary operation because of recurrent hemorrhage, and the hematoma-cleared rate>80% in 73 cases,50%-80% in 21 cases,<50% in 10 cases before operation within 6 hours. According to ADL classification,the 92 cases were alive after operation, good recovery in 65 cases, moderate disability in 22 cases, 5 cases of severe disability, death and give up treatment 12 cases. There was 12 cases of sec-ondary operation because of recurrent hemorrhage in control group, and the hematoma-cleared rate>80% in 16 cases,50%-80%in 23 cases,<50%in 24 cases before operation within 6 hours. According to ADL classification,the 45 cases were alive after operation in control group, good recovery in 14 cases,moderate disability in 16 cases,15 cases of se-vere disability,death and give up treatment 18 cases. There were significant differences between the two groups in op-eration time, intra-operative blood loss, the volume of blood transfusion, hematoma clearance rate, postoperative sur-vival rate and the survival quality ADL grading at half a year, and the indexes mentioned above in treatment group were better than those in control group. Conclusion Surgery treatment of hypertensive intracerebral hemorrhage in basal ganglia under direct vision by lateral fissure-brain island approach assisted by the deep cold light suction will shooter the operation time and lower the surgical injury,increase hematoma-cleared rate,it aslo has reliable hemostasis and more effective,so this method is worthy of clinical use.
