Analysis of the Efficacy and Safety of Small Bone Window Through Lat-eral Fissure Approach and Traditional Large Bone Window Surgery in the Treatment of Hypertensive Intracerebral Hemorrhage
Objective To investigate the efficacy and safety of hypertensive intracerebral hemorrhage(HICH)treated by small bone window through lateral fissure approach and traditional large bone window surgery.Methods A total of 102 patients diagnosed with HICH in Xiapu County Hospital of Fujian Province from March 2022 to March 2024 were selected as the study objects by convenient sampling method,and were divided into control group and observation group according to different operation methods,with 51 cases in each group.The control group received traditional sur-gery with large bone window,and the observation group received lateral fissure approach with small bone window.The basic surgical indexes,nerve function,serum inflammatory indexes and complication rate were compared between the two groups.Results There was no significant difference in operation time between the two groups(P>0.05).The intra-operative blood loss was less than that in the control group,and hospital stay in the observation group was shorter than that in the control group,and the differences were statistically significant(both P<0.05).One month after operation,the neurological function score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).One week after surgery,the levels of three serum inflammatory indicators(inter-leukin-1β,interleukin-6,tumor necrosis factor-α)in observation group were lower than those in control group,and the differences were statistically significant(all P<0.05).The total incidence of postoperative complications in the ob-servation group was 5.88%(3/51)lower than that in the control group 19.61%(10/51),the difference was statistically significant(χ2=4.319,P=0.037).Conclusion Compared with traditional large bone window surgery,small bone win-dow though lateral fissure approach can shorten the hospitalization time of HICH patients,improve the neurological function of patients,alleviate the inflammatory response of the body,and reduce the occurrence of complications.
Hypertensive intra cerebral hemorrhageSmall bone window through lateral fissure approachTraditional large bone window surgeryNeurological functionSerum inflammatory index
万方数据
维普
