Comparison of the Efficacy of Drilling Drainage and Microscopic Crani-otomy Hematoma Removal in the Treatment of Spontaneous Subcortical Cerebral Hemorrhage
Objective To compare and analyze the clinical effects of drilling drainage and microscopic craniotomy he-matoma removal for the treatment of spontaneous subcortical cerebral hemorrhage.Methods 56 patients with subcorti-cal cerebral hemorrhage treated in Jiawang District People's Hospital of Xuzhou City from January 2021 to January 2023 were selected for retrospective analysis.According to the different surgical methods,27 cases were divided into trepanation and drainage(drilling group)and 29 cases of microscopic craniotomy hematoma removal(craniotomy group).The operative time,blood loss,hematoma clearance rate,postoperative rebleeding rate,consciousness distur-bance 3 months after surgery,neurological impairment and prognosis of the two groups were compared,and the clini-cal effects of the two surgical methods were evaluated.Results Compared with the craniotomy group,the operation time,blood loss and postoperative rebleeding rate in the drilling group were significantly reduced,the difference were statistically significant(all P＜0.05).The hematoma clearance rate of drilling group(83.62±4.88)%was higher than that of craniotomy group(79.42±5.19)%,and the difference was statistically significant(t=3.114,P＜0.05).The degree of consciousness disturbance and nerve defect in the drilling group was less than that in the craniotomy group,and the difference were statistically significant(both P＜0.05).The mortality rate of drilling group was lower than that of crani-otomy group,and the rate of good prognosis was higher than that of craniotomy group,the differences were statistical significance(both P＜0.05).Conclusion In the surgical treatment of spontaneous subcortical cerebral hemorrhage,drilling drainage is more advantageous than microscopic craniotomy hematoma removal,which reduces the operation time and bleeding volume as well as improves the hematoma removal rate,clearly reduces the rate of postoperative re-bleeding,improves the degree of conscious coma and neurological defects,and reduces the morbidity and mortality rate,so as to make the patients have a better prognosis.
万方数据
维普
