摘要
Abstract
Objective:To investigate the effect of small bone flap craniotomy hematoma removal surgery on hypertensive cerebral hemorrhage in basal ganglia region.Method:A retrospective analysis was performed on 74 cases with hypertensive cerebral hemorrhage in basal ganglia region treated in the Second People's Hospital of Anqing City from October 2018 to September 2023.The patients were divided into control group(40 cases)and observation group(34 cases)according to the operation method.The control group was given large bone flap craniotomy hematoma removal surgery,the observation group was given small bone flap craniotomy hematoma removal surgery.Perioperative indexes,complications,neurological function impairment,neurological function,ability of daily living before operation and 2 months after operation,rebleeding and death were compared between the two groups.Result:The intraoperative blood loss volume in the observation group was less than that in the control group,and the operation time,consciousness recovery time and hospital stay in the observation group were shorter,the differences were statistically significant(P<0.05).Two months after surgery,the incidence of complications in the observation group was 23.53%,which was significantly lower than 67.50%in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the rate of rebleeding and mortality between the two groups(P>0.05).Two months after surgery,the scores of the activities of daily living scale(ADL)increased in both groups,and the scores of the modified Rankin scale(mRS)and the modified Edinburgh-Scandinavia stroke scale(MESSS)decreased;the score of ADL in the observation group was higher,and the scores of mRS and MESSS in the observation group were lower,the differences were statistically significant(P<0.05).Conclusion:In the surgical treatment of hypertensive intracerebral hemorrhage in basal ganglia area,small bone flap craniotomy hematoma removal surgery has significant advantages over large bone flap craniotomy hematoma surgery application,which can accelerate postoperative recovery,help reduce complications,improve patient function,and improve patients'life ability,with a better prognosis.关键词
基底节区高血压脑出血/小骨瓣开颅血肿清除术/大骨瓣开颅血肿清除术Key words
Hypertensive cerebral hemorrhage in basal ganglia area/Small bone flap craniotomy hematoma removal surgery/Large bone flap craniotomy hematoma removal surgery
