Objective To explore the effect analysis of different surgical methods In cerebral hemorrhage associated with antithrombotic drugs Methods From January 2017 to January 2022,52 patients with cerebral hemorrhage associated with antithrombotic drugs admitted to our hospital were divided into the craniotomy group and the stereotactic group according to different treatment plans.Among them,there were 33 cases in the craniotomy group and 19 cases in the stereotactic group.The operation time,postoperative complications and postoperative mRS Scores of the two groups were observed and compared.Results In the craniotomy group,the average operation time was 197.91±56.17 minutes,8 cases of intracranial infection,10 cases of epilepsy,5 cases of infarction.The average MRS Score one month after surgery was 4.67±0.96,and 6 cases of postoperative death.In the stereotactic group,the average operation time was 96.05±29.55 minutes,2 cases of intracranial infection,2 cases of epilepsy,1 case of infarction,the average MRS Score of 1 month after surgery was 3.52±1.39,and 1 case of death after surgery.Among them,the operation time,postoperative epilepsy and MRS of 1 month after operation were statistically significant(P<0.05).Conclusion For cerebral hemorrhage caused by antithrombotic drugs,the patients with antithrombotic drug-related cerebral hemorrhage are usually older,and most of them have hypertension,and the prognosis of patients is usually poor.However,the patients who choose stereotactic surgery have less operation time,less complications such as intracranial infection after surgery,and the short-term prognosis after surgery is better than that of patients with craniotomy.
Cerebral hemorrhage associated with antithrombotic drugsStereotactic surgeryShort-term prognosis