Comparison of effects of minimally invasive drilling and drainage through temporal and frontal approaches in treatment of patients with hypertensive cerebral hemorrhage
Objective:To compare effects of minimally invasive drilling and drainage through temporal and frontal approaches in treatment of patients with hypertensive cerebral hemorrhage.Methods:The clinical data of 78 patients with hypertensive cerebral hemorrhage admitted to the hospital from July 2020 to August 2022 were retrospectively analyzed.According to different surgical approaches,they were divided into control group(38 cases)and observation group(40 cases).The control group was treated with minimally invasive drilling and drainage through temporal approach,while the observation group was treated with minimally invasive drilling and drainage through frontal approach.The perioperative index levels,the scores of neurological deficit[National Institutes of Health stroke scale(NIHSS)]and the daily living ability[activity of daily living scale(ADL)]before and after the surgery,and the incidence of complications 7 days after the surgery were compared between the two groups.Results:There were no significant differences in operation time,consciousness recovery time,residual hematoma volume 7 days after the surgery and hospitalization time between the two groups(P>0.05).The residual volume of hematoma in the observation group was less than that in the control group 3 days after the surgery,and the difference was statistically significant(P<0.05).3 and 6 months after the surgery,the NIHSS scores of the observation group were lower than those of the control group,the ADL scores was higher than those 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 drainage through frontal approach can improve the ADL scores,and reduce the NIHSS scores and the hematoma residual volume 3 days after the surgery in the patients with hypertensive cerebral hemorrhage.Moreover,it is superior to minimally invasive drilling and drainage through temporal approach.
Hypertensive cerebral hemorrhageTemporal approachFrontal approachMinimally invasive drilling and drainageNeurological deficitDaily living abilityComplication
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