Value of improved Paine point puncture in the treatment of intraventricular hemorrhage during transpterional craniotomy for hy-pertension intracerebral hemorrhage
Objective To explore the application value of improved Paine point ventriculocentesis in the treatment of ventricular hemorrhage by transpterional craniotomy in hypertensive cerebral hemorrhage.Methods Retrospective clinical data of 78 patients with hypertensive intracerebral hemorrhage treated by transpterional cranitomy with hematoma removal combined with ventricular puncture and drainage who were admitted to the Second Hospital of Jiaxing from May 2020 to August 2022.Based on the different methods of ventriculocentesis,patients were divided into study group(n=38)and control group(n=40).The study group was treated with improved Paine point ventriculocentocentesis drainage inside the incision,while the control group was treated with ventriculocentocele drainage through contralateral incision at the Kocher point.The two groups were compared in terms of surgical parameters(surgical duration,and intra-operative blood loss),efficacy measures(puncture-path bleeding rate,duration of tube use,clearance of ventricular hemorrhage,and intracranial infection rate),and prognosis[Glasrow coma score(GCS)and National Institute of Health stroke scale(NIHSS)at one month after surgery].Results The study group was evidently smaller than the control group in surgical duration,intra-operative blood loss,puncture-path bleeding rate,duration of tube use,and intracranial infection rate(P＜0.05),and had a great rate of clearance of ventricular hemorrhage on postoperative day 5 than the control group(P＞0.05).There was no significant difference in GCS score and NIHSS score between the two groups among patients who survived one month after surgery(both P＞0.05).Conclusion Compared with the traditional ventricle drilling and drainage through contralateral incision at the Kocher point,the application of improved Paine point puncture inside the incision in the treatment of intraventricular hemorrhage in the transperional craniotomy for hypertensive cerebral hemorrhage can improve clearance of ventricular hemorrhage,shorten surgical duration and duration of tube use,reduce puncture channel bleeding rate and intracranial infection rate,and do not aggravate the degree of neurological injury of patients.
Hypertensive intracerebral hemorrhageIntraventricular hemorrhageTranspterional craniotomyVen-tricular drilling and drainageImproved Paine point ventricular puncture
万方数据
维普
