Effect of Intraoperative Real-time Ultrasound-guided Microscopy through Small Bone Window Lateral Fissure Approach for Hypertensive Basal Ganglia Cerebral Hemorrhage
WANG Guanglv, DENG Feng, PAN Mingyuan, et al
Ninth Affiliated Hospital of Guangxi Medical University / Beihai People's Hospital, Guangxi Beihai 53600, China
Abstract：Objective: To analyze the effect of microsurgical treatment of small bone window through lateral fissure in patients with hypertensive basal ganglia intracerebral hemorrhage guided by real-time ultrasound during operation. Methods: The clinical data of 100 patients with hypertensive basal ganglia cerebral hemorrhage admitted to neurosurgery department of our hospital from December 2015 to December 2018 were retrospectively analyzed. According to the surgical methods, 57 patients treated with ultrasound-guided microscopy through small bone window lateral fissure approach were as the research group, and 43 patients with simple microscopy through small bone window lateral fissure approach were as the control group. The changes of operation related indexes, hematoma clearance rate 1 day after operation, GOS score 1 month after operation, ADL grade 6 months after operation and the occurrence of complications were observed. Results: The operation time, bleeding volume and hospitalization time of the study group were significantly better than those of the control group (P < 0.05). The proportion of patients with hematoma clearance rate＞85% in the study group was higher than that in the control group, while the proportion of patients with hematoma clearance rate of 50%-85% in the study group was higher than that in the control group (P < 0.05). Compared with the control group, the proportion of patients with GOS score 4 in the study group increased significantly (P < 0.05), the proportion of patients with 3 points decreased significantly (P < 0.05). The proportion of grade II patients in the study group was significantly higher than that in the control group (P < 0.05). The total incidence of postoperative complications was 5.26% in the study group and 13.95% in the control group, and there was no significant difference between the two groups (P > 0.05). Conclusions: Ultrasound-guided microscopy through small bone window lateral fissure approach for hypertensive cerebral hemorrhage in basal ganglia can shorten the operation time, reduce the amount of bleeding, shorten the hospital stay, and has high clearance rate of hematoma and fewer complications, which is conducive to the recovery after operation.
王光绿, 邓峰, 潘明远, 陈琨. 术中实时超声引导下小骨窗经侧裂显微手术治疗高血压基底节区脑出血的效果[J]. 河北医学, 2020, 26(3): 493-497.
WANG Guanglv, DENG Feng, PAN Mingyuan, et al. Effect of Intraoperative Real-time Ultrasound-guided Microscopy through Small Bone Window Lateral Fissure Approach for Hypertensive Basal Ganglia Cerebral Hemorrhage. HeBei Med, 2020, 26(3): 493-497.
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2020, Vol. 26 
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