Clinical Observation of Microscopically Keyhole Craniotomy for Intracranial Hematoma Evacuation and Soft Channel Minimally Invasive Drainage in the Treatment of Hypertensive Intracerebral Hemorrhage
Objective To investigate the effect of microscopically keyhole craniotomy for intracranial hematoma evacuation and soft channel minimally invasive drainage in the treatment of hypertensive intracerebral hemorrhage(HICH).Methods 128 patients with HICH admitted to our hospital from January to December 2023 were selected as the research objects and randomly divided into a keyhole craniotomy group(n=64)and a soft channel minimally invasive group(n=64).The keyhole craniotomy group was treated with microscopic keyhole craniotomy for intracranial hematoma removal,and the soft channel minimally invasive group was treated with soft channel minimally invasive drainage.Hematoma clearance rate,living ability,neurological function,consciousness state,oxidative stress index and complications were compared between the two groups.Results The hematoma clearance rate of keyhole craniotomy group was 89.06%,and that of soft channel minimally invasive group was 84.38%,with no statistical difference between the groups(P＞0.05).The National Institutes of Health Stroke Scale(NIHSS)score of the two groups after operation were lower than those before operation,and the(Activities of Daily Living)ADL score of the two groups were higher than those before operation,while the ADL score of the keyhole craniotomy group was higher than that of the soft channel minimally invasive group,and the NIHSS score of the keyhole craniotomy group was lower than that of the soft channel minimally invasive group,and the differences were statistically significant(P＜0.05).After operation,the level of superoxide dismutase(SOD)and Glasgow Coma Scale(GCS)score in the two groups were higher than those before operation,and the level of malondialdehyde(MDA)was lower than that before operation,while the detection value of SOD and GCS score in the keyhole craniotomy group were higher than those in the soft channel minimally invasive group,and the detection value of MDA in the keyhole craniotomy group was lower than that in the soft channel minimally invasive group,and the differences were statistically significant(P＜0.05).The total incidence of postoperative complications in the keyhole craniotomy group was lower than that in the soft channel minimally invasive group,and the difference was statistically significant(P＜0.05).Conclusion Both surgical methods have good therapeutic effects on HICH,but patients with intracranial hematoma after microsurgical keyhole craniotomy have mild stress response,reduce the occurrence of complications,and better improve their neurological function,consciousness state,and daily living ability.
Hypertensive intracerebral hemorrhageRemoval of intracranial hematoma by keyhole craniotomySoft channel minimally invasive drainageNeurological function
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