Clinical observation of keyhole surgery in the treatment of spontaneous and partial traumatic intracerebral hem-orrhage
Objective To evaluate the application of keyhole surgery in patients with spontaneous intracerebral hemorrhage(ICH)and partial traumatic ICH.Methods A retrospective analysis was conducted on 120 patients with spontaneous ICH,including 96 with hypertensive ICH,15 with aneurysmal rupture hemorrhage,and 9 with arteriovenous malformation rupture hemorrhage,as well as 40 patients with traumatic ICH treated via keyhole surgery.All surgeries were performed within 72 hours of onset.Results Postoperative CT scans conducted within 2-24 hours showed a hematoma clearance rate exceeding 90％in 126 cases(86.8％).Complete clipping was achieved in all 15 aneurysm cases.At 6 months post-surgery,the daily living ability(ADL)grades of the patients were as follows:Grade Ⅰ in 73 cases(36.1％),Grade Ⅱ in 87 cases(43.1％),Grade Ⅲ in 32 cases(15.8％),Grade Ⅳ in 5 cases(2.5％),and GradeⅤ in 3 cases(1.5％).Two patients(1.0％)died due to postoperative complications.Conclusion Keyhole surgery is a safe and effective treatment option for selected patients with spontaneous and partial traumatic ICH.
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