COMPARISON OF MINIMALLY INVASIVE TREATMENTS WITH DIFFERENT PUNCTURE POINTS IN TREATMENT OF HYPERTENSIVE CEREBRAL HEMORRHAGE
Objective To compare the minimally invasive treatments with traditional puncture point (bleeding hard channel) and modified puncture point in the treatment of hypertensive cerebral hemorrhage,and to investigate the effects of Trolard and Labbe veins on the efficacy of minimally invasive treatment for hypertensive cerebral hemorrhage.Methods A total of 257 patients with hypertensive cerebral hemorrhage were divided into traditional puncture point group (group A,n =123) and modified puncture point group (group B,n =134) according to the location of the puncture point.In group A,the puncture points were in the area of Trolard and Labbe veins;in group B,the puncture points were outside of the area of Trolard and Labbe veins.The incidence of complications was compared between the two groups.Results Group B had lower incidence rates of subdural hematoma or subarachnoid hemorrhage,venous edema,venous infarction,aphasia,and hemiplegic limbs than group A,and there were significant differences in the incidence rates of subdural hematoma or subarachnoid hemorrhage and venous edema between the two groups (x2=12.55,8.53;P<0.05).Conclusion In minimally invasive treatment of hypertensive cerebral hemorrhage,the puncture point should not be in the area of Trolard and Labbe veins,so that the incidence of postoperative complications can be significantly reduced.