Comparison of effects of minimally invasive drilling and catheter drainage and small bone window craniotomy in treatment of patients with hypertensive cerebral hemorrhage
Objective:To compare effects of minimally invasive drilling and catheter drainage and small bone window craniotomy in treatment of patients with hypertensive cerebral hemorrhage(HICH).Methods:The clinical data of 86 patients with HICH admitted to the hospital from August 2020 to August 2022 were retrospectively analyzed.According to different treatment methods,they were divided into study group and control group,43 cases in each group.The study group was treated with minimally invasive drilling and catheter drainage,while the control group was treated with small bone window craniotomy.The levels of perioperative indexes and inflammatory indexes[procalcitonin(PCT),C-reactive protein(CRP)],the neurological deficit degree[National Institutes of Health stroke scale(NIHSS)]score,the activities of daily living[activity of daily living scale(ADL)]score before and after the surgery,and the incidence of complications 2 weeks after the surgery were compared between the two groups.Results:The operation time and the hospitalization time of the study group was shorter than those of the control group,the intraoperative blood loss of the study group was less than that of the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the hematoma clearance rate between the two groups during extubation(P>0.05).Three days after the surgery,the levels of PCT and CRP in the two groups were higher than those before the surgery,but those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).Three months after the surgery,the NIHSS score of the study group was lower than that of the control group,the ADL score was higher than that of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Minimally invasive drilling and catheter drainage in the treatment of the HICH patients can improve the ADL scores,shorten the operation time and the hospitalization time,reduce the intraoperative blood loss,reduce the levels of inflammatory factors and the NIHSS scores.Moreover,it is superior to small bone window craniotomy.
Small bone window craniotomyDrilling and catheter drainageHypertensive cerebral hemorrhageInflammatory factorNeurological deficitActivity of daily livingComplication
万方数据
维普
