Effects of Conventional Craniotomy and Drilling Drainage on Neurological Deficits and Prognosis in Patients with Hypertensive Basal Ganglia Hemorrhage
Objective To compare the effects of conventional craniotomy and drilling drainage on neurological deficits and prognosis in patients with hypertensive basal ganglia hemorrhage(HBGH).Methods A total of 58 patients with HBGH admitted to Dayu County People's Hospital from February 2019 to February 2022 were enrolled in the study.They were divided into craniotomy group(29 patients)and drilling group(29 patients)by random number table method.The craniotomy group was treated with conventional craniotomy hematoma removal,while the drilling group was treated with drilling drainage.The operation-related indicators(operation time,hematoma clearance rate,postoperative hospital stay),postoperative rebleeding and complications,degree of neurological deficits,and prognosis[Glass prognostic score(GOS),modified Barthel index(MBI)]were compared between the two groups.Results There was no significant difference in hematoma clearance rate between the two groups(P＞0.05),but the operation time and postoperative hospital stay in the drilling group were shorter than those in the craniotomy group(P＜0.05),but the incidence of complications in the drilling group was lower than that in the craniotomy group(P＜0.05).There was no significant difference in postoperative rebleeding rate between the two groups(P＞0.05),but the incidence of complications in the drilling group was lower than that in the craniotomy group(P＜0.05).At 6 months after operation,there was significant difference in the degree of neurological deficit between the two groups(P＜0.05).There was no significant difference in GOS score between the two groups(P＞0.05),but the MBI score of the drilling group was higher than that of the craniotomy group(P＜0.05).Conclusion Conventional craniotomy and drilling drainage have definite effects in the treatment of HBGH.The hematoma removal effect of the two is similar and the prognosis is consistent.However,the latter has shorter operation time,faster postoperative recovery and lower risk of complications,which is more conducive to the improvement of neurological function and prognosis of patients.
Hypertensive basal ganglia hemorrhageCraniotomy hematoma removalDrilling drainageNeurological function
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