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.
关键词
丘脑基底节区高血压脑出血/手术治疗/神经内镜下血肿清除术/显微镜下小骨窗开颅血肿清除术/预后效果
Key words
Hypertensive intracerebral hemorrhage in basal ganglia of thalamus/Surgical treatment/Neuroendoscopic hematoma removal surgery/Microscopic small bone window craniotomy for hematoma removal/Prognostic effect
维普
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