The clinical observation of two minimally invasive interventions for patients with hypertensive intracerebral hemorrhage
10.3760/cma.j.issn.1008-1372.2011.05.017
- VernacularTitle:软通道与硬通道微创技术治疗高血压脑出血的临床观察
- Author:
Yan MA
;
Ting JANG
;
Chujuan LIU
;
Bo XIAO
- Publication Type:Journal Article
- Keywords:
Surgical procedures,minimally invasive/MT;
Intracranial hemorrhage,hypertensive/SU
- From:
Journal of Chinese Physician
2011;13(5):634-637
- CountryChina
- Language:Chinese
-
Abstract:
Objective Soft and hard channel minimally invasive interventions for patients with hypertensive intracerebral hemorrhage have been used for many years. A retrospective study was performed to evaluate the superiority of these two methods. Methods 122 patients with hypertensive intracerebral hemorrhage were included in this retrospective study, 64 cases in soft channel group and 58 cases in hard channel group. The clinical effects were compared; catheter retention time and complications of the minimally invasive surgery were also observed in these two groups. Results In soft channel group, NIHSS before the treatment was 18.05±7.77, and NIHSS after the treatment was 7.57±4.68. The mortality was 17.19%. The catheter retention time in hematoma puncture was (4.35±1.56)days, and the catheter retention time in ventricle puncture was (7.67±2.37)days. There were 4 cases of rebleeding and 3 cases of intracranial infection. In hard channel group, NIHSS before the treatment was 18.38±9.02, and NIHSS after the treatment was 8.02±4.84. The mortality was 20.69%. The catheter retention time in hematoma puncture was (4.07±1.49)days, and the catheter retention time in ventricle puncture was (8.17±2.55)days. There were 9 cases of rebleeding and 2 cases of intracranial infection. The differences were not statistically significant (P＞0.05). Conclusions Soft and hard channel minimally invasive interventions of hypertensive cerebral hemorrhage have the same clinical value.
