Prognostic factors analysis of YL-1 type hard channel trepanation and drainage combined with stereotactic therapy for hypertensive intracerebral hemorrhage
10.3969/j.issn.1005-6483.20231428
- VernacularTitle:YL-1型硬通道钻孔引流术结合立体定向治疗高血压脑出血的预后因素分析
- Author:
Bin LIU
1
;
Lei DING
;
Weipeng CHENG
;
Pengkun FAN
;
Yan WANG
;
Bing ZHANG
;
Chao REN
;
Xiuyao MA
Author Information
1. 234000 安徽省宿州市第一人民医院脑血管病诊疗中心
- Keywords:
stereotactic;
hypertension;
cerebral hemorrhage;
prognostic factors;
YL-1 rigid channel;
trepanation and drainage
- From:
Journal of Clinical Surgery
2024;32(11):1142-1146
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy and prognostic factors of YL-1 type hard channel trepanation and drainage combined with stereotactic treatment for hypertensive intracerebral hemorrhage.Methods A retrospective study was conducted on 110 patients with hypertensive intracerebral hemorrhage at the Cerebrovascular Disease Center of the First People's Hospital of Suzhou from August 2019 to October 2022.The observation group(55 cases)received YL-1 type hard channel drilling and drainage combined with stereotactic treatment,while the control group(55 cases)received simple YL-1 type hard channel drilling and drainage.The perioperative indicators,neurological damage,and prognosis of the two groups of patients were compared;Using multiple Logistic regression analysis to identify the prognostic factors affecting patients.Results The perioperative indicators,neurological damage,and prognosis of the observation group were better than those of the control group(P＜0.05);The admission NIHSS score(OR=2.504,P＜0.05),simple minimally invasive drilling and drainage(OR=1.881,P＜0.05),disease duration＞24 hours(OR=2.782,P＜0.001),and ventricular rupture(OR=2.252,P＜0.05)are risk factors for poor prognosis in patients.Conclusion The prolongation of the patient's disease course,ventricular rupture,and severe neurological damage are associated with poor prognosis.Combining stereotactic minimally invasive surgery has a positive significance for improving the prognosis of patients with cerebral hemorrhage.
