Comparison of efficacy and safety of minimally invasive hematoma evacuation and traditional craniotomy in the treatment of cerebral hemorrhage
Objective To compare the efficacy and safety of minimally invasive hematoma evacuation and traditional craniotomy in the treatment of cerebral hemorrhage.Methods 67 patients with cerebral hemorrhage treated by traditional craniotomy were selected as control group,and 66 patients with cerebral hemorrhage treated by minimally invasive hematoma evacuation as observation group.Patients in both groups were compared in terms of clinical efficacy,surgical indicators(operation time,intraoperative blood loss,postoperative drainage time,postoperative awake time,hospitalization time),rehabilitation indicators[National Institutes of Health Stroke Scale(NIHSS)score,Glasgow Coma Scale(GCS)score]and incidence of complications.Results The clinical efficacy of the observation group was significantly better than that of the control group,and the difference was statistically significant(Z=2.7311,P<0.05).The operation time,postoperative drainage time,postoperative awake time and hospitalization time of the observation group were(5.54±1.05)h,(2.19±0.42)d,(5.76±1.09)d and(21.63±4.11)d,which were significantly shorter than(6.94±1.32)h,(3.58±0.68)d,(6.94±1.32)d and(23.95±4.55)d of the control group;the intraoperative blood loss of the observation group was(23.85±4.53)ml,which was significantly less than(57.85±10.99)ml of the control group;the difference was statistically significant(P<0.05).At 3 months after treatment,the NIHSS scores and GCS scores in both groups were lower than those of 1 week after treatment;the observation group had NIHSS score of(6.62±1.29)points and GCS score of(3.18±0.62)points,which were lower than(7.24±1.40)and(3.92±0.76)points in the control group;the difference was statistically significant(P<0.05).The incidence of complications in the observation group(7.58%)was significantly lower than that in the control group(23.88%),and the difference was statistically significant(P<0.05).Conclusion Compared with traditional craniotomy,minimally invasive hematoma evacuation for patients with cerebral hemorrhage can improve the efficacy,optimize the surgical indicators,and improve the quality of rehabilitation while ensuring the safety,which is worthy of recommendation.
万方数据
维普
