Clinical surgical treatment experience of small bone window in removing the frontal brain contusion and basal ganglia hematoma

VernacularTitle:小骨窗清除额叶脑挫裂伤及基底节区血肿手术的临床治疗体会
Author: Xiaojian ZHANG
Publication Type:Journal Article
Keywords: Brain injuries; Small bone window; Basal ganglia hematoma
From: Chinese Journal of Postgraduates of Medicine 2015;38(3):198-200
CountryChina
Language:Chinese
Abstract: Objective To explore the surgical indication,key point and curative effect of small bone window in removing the frontal brain contusion and basal ganglia hematoma.Methods The clinical data of 118 patients with frontal cerebral contusion (38 cases) or basal ganglia hematoma (80 cases) were retrospectively analyzed,and the patients were given small bone window surgery.Results The postoperative curative effect was evaluated by daily life activities Barthel index.In 118 patients,56 cases (47.5％) were postoperative independent (Barthel index 100 scores),34 cases (28.8％) were mild dependence (Barthel index 75-95 scores),16 cases (13.6％) were moderate dependence (Barthel index 50-70 scores),10 cases (8.5％) were severe and totally dependence (Barthel index 0-45 scores),and 2 cases (1.7％) were death.Conclusion Small bone window in removing the frontal brain contusion and basal ganglia hematoma has small trauma,fully removed lesions,shorter operation time,fewer complications,quicker recovery,no skull repair,and lower mortality and disability rate.