Observation on efficacy of temporal straight incision small bone window microscopic craniotomy in treating cerebral hemorrhage in basal ganglia region
10.3969/j.issn.1671-8348.2024.15.019
- VernacularTitle:颞部直切口微小骨窗开颅显微镜下治疗基底节区脑出血疗效观察
- Author:
Rudan ZHANG
1
;
Wenfeng XIAO
;
Min JIANG
;
Tingjun TANG
;
Jianbo WANG
;
Feng WANG
;
Xiang ZHANG
Author Information
1. 重庆大学附属涪陵医院神经外科,重庆 408000
- Keywords:
small bone window hematoma removal;
microscope;
hypertension;
basal ganglia intracere-bral hemorrhage;
efficacy
- From:
Chongqing Medicine
2024;53(15):2349-2352
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical efficacy of temporal small bone window microscopic craniot-omy in treating cerebral hemorrhage in basal ganglia region.Methods The retrospective analysis was adopt-ed.A total of 130 patients with intracerebral hemorrhage in the basal ganglia region treated in the Department of Neurosurgery of this hospital from January 2020 to January 2023 were selected as the study subjects.The patients treated by traditional frontotemporal large bone flap craniotomy hematoma removal were included in-to the control group (n=82) and the patients adopting temporal straight incision small bone window hemato-ma removal were included into the study group (n=48).The general data,surgical indicators,clinical efficacy,degree of neurological impairment,postoperative complications and postoperative quality of life of the patients were statistically analyzed.Results There were no statistically significant differences in preoperative Glasgow (GCS) score,gender,age and hematoma volume between the two groups (P>0.05);there was no statistically significant difference in the average hematoma clearance rate between the two groups (P>0.05);compared with the control group,the operation time and hospital stay of the study group were shorter,the incidence of severe edema and suboccipital fluid accumulation were lower,and the good prognosis rate was higher,with sta-tistical significance (P<0.05).Conclusion Temporal straight incision small bone window microscopic hema-toma removal in treating cerebral hemorrhage in basal ganglia region has mild edema reaction of brain tissue in operative area,the neurological function obtains the better protection and the good prognostic rate of the pa-tients is significantly increased.
