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| Effects of two Different Surgical Methods on Perioperative Indexes ADL Score and Postoperative Complications in Patients with Hypertensive Intracerebral Hemorrhage in Basal Ganglia |
| ZHENG Xi, SUN Dunxin, YIN Jie |
| The 474 Hospital of PLA, Xinjiang Urumqi 830013, China |
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Abstract Objective:To analyze the effects of two different surgical methods on perioperative indexes, activities of daily living (ADL) score and postoperative complications in patients with hypertensive intracerebral hemorrhage (HICH) in basal ganglia. Methods: 86 patients with HICH in basal ganglia who were admitted to the hospital during the period from January 2015 to January 2018 were selected as subjects. According to different surgical methods, they were divided into the observation group (40 cases) and the control group (46 cases). The observation group was treated by neuroendoscopic minimally invasive surgery, and the control group was treated by small bone window craniotomy microsurgery. The perioperative indexes and changes of intracranial pressure within 7 days after surgery were recorded. The ADL scale and the Glasgow Outcome Scale (GOS) were used to evaluate the activities of daily living and prognosis within 6 months after surgery, and complications were recorded. Results: The surgical time, intraoperative blood loss and hospital stay of the observation group were shorter/less than those of the control group, and the hematoma clearance rate was higher than that in the control group (P<0.05). The intracranial pressure of the observation group was significantly lower than that of the control group at 3 days and 7 days after surgery (P<0.05). The ADL scores of the observation group were higher than those of the control group at 3 months and 6 months after surgery (P<0.05). The GOS grade of the observation group was better than the control group at 6 months after surgery (P<0.05), and the incidence of complications in the observation group within 6 months after surgery was lower than that in the control group (5.00% vs 19.57%) (P<0.05). Conclusion: Compared with small bone window craniotomy microsurgery, neuroendoscopic minimally invasive surgery for HICH in basal ganglia can significantly improve the perioperative indexes, effectively remove hematoma, reduce intracranial pressure, improve postoperative activities of daily living and the prognosis.
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2019, Vol. 25 
