Surgical Treatment and Prognosis Research of Hypertensive Intracerebral Hemorrhage in Basal Ganglia of Thalamus
Objective To explore effect of surgical treatment on patients with hypertensive intracerebral hemorrhage in basal ganglia of thalamus and its effect on prognosis.Methods The paper chose 132 patients with hypertensive intracerebral hemorrhage in basal ganglia of thalamus with underwent surgical treatment in our hospital from January 2020 to December 2022 as study subjects.74 cases in endoscopic group were treated with neuroendoscopic surgery,and 58 cases in microscopic group with craniotomy microsurgery.Changes in bleeding volume before and after surgery,relief scores of cerebral hemorrhage symptoms at discharge,incidence of postoperative complications,and outcome of surgery were observed and recorded between two groups.Results After surgical treatment,brain hematoma was effectively cleared in two groups,patients treated with endoscopy had less residual blood after surgery,with thorough removal of hematoma site(P<0.05).Discomfort symptoms of cerebral hemorrhage in both groups were below 5 points at discharge(P>0.05).More than half of patients in both groups achieved good prognosis,endoscopic group had more ideal prognosis(P<0.05).Incidence of postoperative complications in endoscopic group was lower(P<0.05).Conclusion Both endoscopic surgery and craniotomy microsurgery can clear brain hematoma effectively,alleviate intracerebral hemorrhage symptoms of patients with hypertensive intracerebral hemorrhage in basal ganglia of thalamus,more than half of patients can achieve good prognosis after treatment.Moreover,patients with endoscopic surgery have better curative effect and prognosis.
Hypertensive intracerebral hemorrhage in basal ganglia of thalamusSurgical treatmentNeuroendoscopic hematoma removal surgeryMicroscopic small bone window craniotomy for hematoma removalPrognostic effect
万方数据
维普
