Efficacy comparison between small bone window via lateral fissure and cranial awl hole puncture aspiration via temporal lobe in treatment of hypertensive intracerebral hemorrhage in basal ganglia
10.3760/cma.j.jssn.1673-4904.2016.08.008
- VernacularTitle:小骨窗开颅术与颞叶钻孔引流术治疗基底神经节区高血压脑出血的疗效对照
- Author:
Huifeng LIU
;
Yuan TIAN
;
Yanqiu LUO
;
Lei ZHANG
- Publication Type:Journal Article
- Keywords:
Intracranial hemorrhage,hypertensive;
Basal ganglia;
Craniotomy;
Drainage
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(8):700-703
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and investigate the efficacy of small bone window via lateral fissure and cranial awl hole puncture aspiration via temporal lobe in treatment of hypertensive intracerebral hemorrhage (HIH) in basal ganglia. Methods Eighty-two patients with HIH in basal ganglia were divided into group A (34 cases) and group B (48 cases) by random digits table method. The patients in group A underwent small bone window via lateral fissure, and the patients in group B underwent cranial awl hole puncture aspiration via temporal lobe. The hematoma clearance rate, short-term effects, Barthel index, Scandinavian stroke scale (SSS) score and complications were compared between 2 groups. Results The Hematoma clearance rate and excellent rate in group A were significantly higher than those in group B:(91.12 ± 6.55)%vs. (55.83 ± 4.32)%and 52.94%(18/34) vs. 33.33%(16/48), the incidence of complications was significantly lower than that in group B:5.88%(2/34) vs. 22.92%(11/48), and there were statistical differences (P<0.05). The SSS score 14 d after operation and Barthel index 60 d after operation in group A were better than those in group B:(29.72 ± 6.39) scores vs. (26.43 ± 6.11) scores and (83.91 ± 17.82) scores vs. (72.34 ± 15.62) scores, there were statistical differences (P<0.05 or<0.01). Conclusions The efficacy of small bone window via lateral fissure in treatment of HIH in basal ganglia is better than cranial awl hole puncture aspiration via temporal lobe, however, surgical trauma is relatively large, and operation should be a reasonable choice according to the specific circumstances of patients.
