Effect of Treatment of Cerebral Hemorrhage in Basal Ganglia Region with Balloon Dilatation and Tubular Brain Pressure Plate Combined with Neuroendoscope
Objective:To investigate the clinical effect of balloon-guided and catheter-like brain compression plate combined with neuroendoscope-assisted surgery in the treatment of basal ganglia hemorrhage.Methods:The clinical data of 90 patients with intracerebral hemorrhage in the basal ganglia region admitted to the Department of Neurosurgery,the First People's Hospital of Yulin City from January,2018 to June,2021 were analyzed retrospectively,the patients were divided into two groups according to different operation methods:the observation group(endoscopic group)and the control group(craniotomy group).The observation group(45 cases)were treated with balloon dilation and catheter-guided brain compression plate combined with neuroendoscope-assisted operation for basal ganglia intracerebral hemorrhage,and the control group(45 cases)were treated with traditional craniotomy.The data of GCS score,preoperative hematoma volume,operative time,intraoperative bleeding volume,rebleeding rate and GOS score were collected.The clearance rate of hematoma,relevant indexes during and after operation,and postoperative complications were compared between the two groups.Results:There was no significant difference between the two groups in preoperative cerebral hemorrhage volume,preoperative GCS score and intraoperative blood loss(P＞0.05).The operation time of the observation group was shorter than that of the control group,the clearance rare of hematoma and the incidence of postoperative complications were lower than those of the control group,and the GOS score was better than that of the control group.There was statistically significant difference between the two groups(t=13.21,-5.47,14.10;P＜0.05).Conclusion:The treatment of intracerebral hemorrhage in the basal ganglia region with balloon dilatation and catheter-like brain pressure plate combined with neuroendoscope is safe and effective.It is superior to conventional craniotomy in operation time,postoperative complications and prognosis of patients.
万方数据
维普
